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General NPI Number Information
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NPI Number | 1053521864
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Entity Type | Individual
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Provider Name | CARMEN M SCHMIDT PT
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Gender | Female
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Dates
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Enumeration Date | 05/23/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 220 10TH AVE S
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City | NAMPA
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State | ID
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Zip | 83651-3832
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Country | US
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Telephone | 208-489-5950
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Fax |
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Provider Business Mailing Address
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Address Line | 12788 SMITH AVE
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City | NAMPA
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State | ID
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Zip | 83651-8100
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Country | US
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Telephone | 208-463-0538
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT-957
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License Number State | ID
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