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General NPI Number Information
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NPI Number | 1093255648
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Entity Type | Individual
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Provider Name | COTY SCHMIDT NP
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Gender | Male
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Dates
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Enumeration Date | 03/01/2017
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2805 AZALEA PL
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City | NASHVILLE
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State | TN
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Zip | 37204-3117
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Country | US
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Telephone | 615-632-3331
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Fax | 615-249-8989
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Provider Business Mailing Address
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Address Line | 540 W MAIN ST # 228
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City | GALLATIN
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State | TN
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Zip | 37066-3122
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Country | US
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Telephone | 615-632-3331
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Fax | 615-249-8989
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 218015
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License Number State | TN
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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 | 22464
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License Number State | TN
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