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General NPI Number Information
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NPI Number | 1871087270
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Entity Type | Individual
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Provider Name | REBECCA LYNN SCHNEIDER PHD
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Gender | Female
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Dates
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Enumeration Date | 06/19/2018
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Last Update Date | 10/09/2020
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Provider Practice Location Address
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Address Line | 23 ISAAC ST
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City | MIDDLEBORO
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State | MA
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Zip | 02346-2080
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Country | US
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Telephone | 404-402-3377
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Fax |
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Provider Business Mailing Address
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Address Line | 25 ATHERTON ST APT 32
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City | SOMERVILLE
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State | MA
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Zip | 02143-2647
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Country | US
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Telephone | 404-402-3377
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY004423
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License Number State | GA
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