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General NPI Number Information
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NPI Number | 1891444170
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Entity Type | Individual
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Provider Name | TAYLOR ALEXANDRA SCHAETZLE MD
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Gender | Female
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Dates
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Enumeration Date | 03/22/2022
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | WAKE FOREST BAPTIST HEALTH MEDICAL CENTER BLVD, MEADS HALL, SUITE B
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City | WINSTON-SALEM
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State | NC
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Zip | 27157
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Country | US
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Telephone | 336-716-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 5625 WOODSHIRE DR APT 2
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City | FORT WAYNE
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State | IN
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Zip | 46835-2958
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Country | US
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Telephone | 219-229-5142
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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