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General NPI Number Information
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NPI Number | 1881250504
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Entity Type | Individual
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Provider Name | DEANNE KAYE SCHUMAKER
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Gender | Female
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Dates
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Enumeration Date | 05/17/2019
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Last Update Date | 05/17/2019
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Provider Practice Location Address
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Address Line | 516 E NIZHONI BLVD
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City | GALLUP
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State | NM
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Zip | 87301-5748
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Country | US
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Telephone | 505-722-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 5731 N 247TH ST W
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City | ANDALE
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State | KS
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Zip | 67001-9600
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Country | US
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Telephone |
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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 | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | 13-80429-011
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License Number State | KS
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