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General NPI Number Information
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NPI Number | 1861188054
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Entity Type | Individual
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Provider Name | EZRA ZANE MCCART-SCHNEIDER
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Gender | Male
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Dates
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Enumeration Date | 04/12/2023
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 44199 MONROE ST
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City | INDIO
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State | CA
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Zip | 92201-3096
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Country | US
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Telephone | 760-863-7067
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Fax |
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Provider Business Mailing Address
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Address Line | 965 E VISTA CHINO APT 6
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City | PALM SPRINGS
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State | CA
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Zip | 92262-3252
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Country | US
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Telephone | 442-360-3499
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 1861188054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number | MPSS-CPASBN
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | MPSS-CPASBN
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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