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General NPI Number Information
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NPI Number | 1861062101
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Entity Type | Individual
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Provider Name | ELAINA LEE SCHNELLE
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Gender | Female
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Dates
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Enumeration Date | 06/29/2021
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 1500 21ST AVE S # B
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City | NASHVILLE
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State | TN
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Zip | 37212-3160
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Country | US
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Telephone | 210-860-1459
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Fax |
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Provider Business Mailing Address
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Address Line | 2128B SHARONDALE DR # B
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City | NASHVILLE
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State | TN
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Zip | 37215-1231
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Country | US
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Telephone | 210-860-1459
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Fax |
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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 | 374700000X
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Taxonomy Name | Technician
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License Number | BACB389185
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License Number State | TX
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