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General NPI Number Information
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NPI Number | 1932317161
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Entity Type | Individual
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Provider Name | JEANNE MARIE SCHUR PH.D.,LP
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Gender | Female
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Dates
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Enumeration Date | 05/20/2007
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Last Update Date | 10/03/2017
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Provider Practice Location Address
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Address Line | 3800 AMERICAN BLVD W STE 1500
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City | BLOOMINGTON
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State | MN
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Zip | 55431-4429
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Country | US
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Telephone | 952-921-5827
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Fax |
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Provider Business Mailing Address
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Address Line | 5308 W 70TH ST
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City | EDINA
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State | MN
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Zip | 55439-2000
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Country | US
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Telephone | 952-921-5827
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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 | LP2155
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License Number State | MN
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