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General NPI Number Information
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NPI Number | 1871154245
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Entity Type | Individual
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Provider Name | MARY E SCHUWERK PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/26/2019
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Last Update Date | 07/16/2024
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Provider Practice Location Address
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Address Line | 1180 SETON PKWY STE 410
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City | KYLE
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State | TX
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Zip | 78640-6184
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Country | US
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Telephone | 512-504-0057
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Fax | 512-744-0413
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Provider Business Mailing Address
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Address Line | PO BOX 10597
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City | AUSTIN
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State | TX
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Zip | 78766-1597
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Country | US
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Telephone | 512-485-5889
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Fax | 512-420-0397
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA13183
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License Number State | TX
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