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General NPI Number Information
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NPI Number | 1922134469
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Entity Type | Individual
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Provider Name | MARK ALAN SCHNEIDER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 02/26/2007
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Last Update Date | 08/29/2011
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Provider Practice Location Address
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Address Line | 421 N MAIN ST
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City | LEEDS
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State | MA
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Zip | 01053-9764
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Country | US
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Telephone | 413-584-4040
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Fax |
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Provider Business Mailing Address
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Address Line | 65 CONCORD WAY
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City | AMHERST
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State | MA
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Zip | 01002-9778
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Country | US
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Telephone | 413-230-3693
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071-006246
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License Number State | IL
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