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General NPI Number Information
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NPI Number | 1003359738
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Entity Type | Individual
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Provider Name | KAITLIN SCHMIDT NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/29/2016
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Last Update Date | 11/15/2019
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Provider Practice Location Address
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Address Line | 360 BLOOMFIELD AVE STE 301
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City | WINDSOR
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State | CT
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Zip | 06095-2700
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Country | US
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Telephone | 860-281-7687
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Fax | 860-910-1411
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Provider Business Mailing Address
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Address Line | 360 BLOOMFIELD AVE STE 301
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City | WINDSOR
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State | CT
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Zip | 06095-2700
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Country | US
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Telephone | 860-281-7687
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Fax | 860-910-1411
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 6862
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 6862
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN82555-NP-C
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License Number State | WV
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Taxonomy #4
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010914
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 6862
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License Number State | CT
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