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General NPI Number Information
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NPI Number | 1891248423
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Entity Type | Individual
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Provider Name | CHRISTINA L. SCHUCK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/01/2016
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Last Update Date | 07/02/2024
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Provider Practice Location Address
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Address Line | 1007 W MAIN ST
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City | FAIRFIELD
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State | IL
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Zip | 62837-2308
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Country | US
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Telephone | 618-842-4470
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Fax | 618-842-3437
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Provider Business Mailing Address
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Address Line | PO BOX 155
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City | CHRISTOPHER
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State | IL
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Zip | 62822-0155
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Country | US
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Telephone | 618-724-2401
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Fax | 618-724-2571
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209.020801
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License Number State | IL
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