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General NPI Number Information
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NPI Number | 1922456854
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Entity Type | Individual
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Provider Name | JESSICA SCHNEIDER CPNP
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 07/12/2025
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Provider Practice Location Address
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Address Line | 4650 W SUNSET BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90027-6062
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Country | US
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Telephone | 503-730-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 865 SANBORN AVE APT 10
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City | LOS ANGELES
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State | CA
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Zip | 90029-3595
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Country | US
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Telephone | 503-730-5732
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 95024949
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License Number State | CA
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Taxonomy #2
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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 | 95024949
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95092047
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License Number State | CA
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