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General NPI Number Information
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NPI Number | 1891951737
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Entity Type | Organization
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Legal Business Name | AUTUMN SCHAUER
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Dates
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Enumeration Date | 07/30/2008
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Last Update Date | 07/30/2008
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Provider Practice Location Address
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Address Line | 307 SHADY TREE CT
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City | CLAYTON
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State | OH
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Zip | 45315-9652
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Country | US
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Telephone | 937-270-1370
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Fax |
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Provider Business Mailing Address
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Address Line | 307 SHADY TREE CT
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City | CLAYTON
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State | OH
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Zip | 45315-9652
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Country | US
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Telephone | 937-270-1370
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MISS AUTUMN MARIA SCHAUER
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Credential |
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Telephone | 937-270-1370
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 328767
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License Number State | OH
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