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General NPI Number Information
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NPI Number | 1851531958
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Entity Type | Individual
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Provider Name | JOANNE M. SCHROEDER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2009
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Last Update Date | 03/02/2009
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Provider Practice Location Address
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Address Line | 1138 E CHESTNUT AVE BLDG. 6B
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City | VINELAND
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State | NJ
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Zip | 08360-5053
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Country | US
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Telephone | 610-348-7180
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Fax | 610-891-7827
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Provider Business Mailing Address
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Address Line | PO BOX 224
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City | PENNSVILLE
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State | NJ
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Zip | 08070-0224
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Country | US
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Telephone | 610-348-7180
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Fax | 610-891-7827
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 35SI00402100
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS008954L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PS008954L
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License Number State | PA
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