Basic Information
Provider Information
NPI: 1770961450
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SCHNEIDER
FirstName: RACHEL
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
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Mailing Information
Address1: 17 BELMONT AVE STE 1
Address2:  
City: BRATTLEBORO
State: VT
PostalCode: 053013498
CountryCode: US
TelephoneNumber: 8022570341
FaxNumber: 8022578834
Practice Location
Address1: 21 BELMONT AVE
Address2:  
City: BRATTLEBORO
State: VT
PostalCode: 053017110
CountryCode: US
TelephoneNumber: 8022519965
FaxNumber: 8022578778
Other Information
ProviderEnumerationDate: 05/13/2015
LastUpdateDate: 04/12/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/12/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X25ME00057601NJY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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