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General NPI Number Information
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NPI Number | 1992080535
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Entity Type | Individual
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Provider Name | KENDRA K SCHROEDER ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/14/2011
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Last Update Date | 12/27/2011
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Provider Practice Location Address
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Address Line | 1000 LINCOLN CIR SE
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City | ORANGE CITY
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State | IA
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Zip | 51041-1836
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Country | US
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Telephone | 712-737-4984
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 LINCOLN CIR SE
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City | ORANGE CITY
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State | IA
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Zip | 51041-1836
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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 | 163WW0000X
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Taxonomy Name | Wound Care Registered Nurse
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License Number | A068276
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A-068276
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License Number State | IA
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Taxonomy #3
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Taxonomy Code | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | A068276
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License Number State | IA
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