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General NPI Number Information
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NPI Number | 1063384386
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Entity Type | Individual
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Provider Name | AMANDA LEE SCHMIDT BSN, APNP, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 511 MADISON AVE
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City | FORT ATKINSON
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State | WI
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Zip | 53538-1444
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Country | US
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Telephone | 920-541-3078
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Fax |
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Provider Business Mailing Address
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Address Line | N5404 COUNTY ROAD Q
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City | JEFFERSON
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State | WI
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Zip | 53549-9431
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Country | US
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Telephone | 920-723-4789
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 17441-33
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License Number State | WI
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