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General NPI Number Information
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NPI Number | 1912025362
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Entity Type | Individual
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Provider Name | JANA SCHADE DO
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 07/08/2024
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Provider Practice Location Address
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Address Line | 705 E MARSHALL AVE STE 1002
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City | LONGVIEW
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State | TX
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Zip | 75601-5660
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Country | US
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Telephone | 903-759-7200
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Fax |
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Provider Business Mailing Address
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Address Line | 901 WALNUT HILL DR
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City | LONGVIEW
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State | TX
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Zip | 75605-5054
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Country | US
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Telephone | 903-315-3700
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Fax | 903-315-3701
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DO2709
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T4266
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License Number State | TX
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