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General NPI Number Information
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NPI Number | 1972803005
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Entity Type | Individual
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Provider Name | BRANDI JEAN SCHRAUGER PEREZ LM
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Gender | Female
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Dates
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Enumeration Date | 10/22/2010
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Last Update Date | 10/22/2010
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Provider Practice Location Address
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Address Line | 839 NINTH ST
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City | ARCATA
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State | CA
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Zip | 95521-6229
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Country | US
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Telephone | 707-684-0457
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Fax |
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Provider Business Mailing Address
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Address Line | 3685 DOWS PRAIRIE RD.
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-9444
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Country | US
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Telephone |
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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 | 176B00000X
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Taxonomy Name | Midwife
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License Number | LM274
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License Number State | CA
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