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General NPI Number Information
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NPI Number | 1083372148
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Entity Type | Individual
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Provider Name | DEMI SCHMIEDER
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Gender | Male
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Dates
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Enumeration Date | 12/06/2021
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Last Update Date | 12/21/2024
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Provider Practice Location Address
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Address Line | 120 N BEAVER ST
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City | FLAGSTAFF
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State | AZ
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Zip | 86001-5573
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Country | US
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Telephone | 602-691-0233
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Fax |
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Provider Business Mailing Address
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Address Line | 333 W ROOSEVELT ST
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City | PHOENIX
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State | AZ
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Zip | 85003-1324
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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