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General NPI Number Information
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NPI Number | 1134200280
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Entity Type | Individual
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Provider Name | JILL SCHMIDT ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 507 14TH ST
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City | DALLAS CENTER
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State | IA
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Zip | 50063-7738
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Country | US
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Telephone | 515-992-3711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 248
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City | GRIMES
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State | IA
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Zip | 50111-0248
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | A-085773
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License Number State | IA
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