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General NPI Number Information
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NPI Number | 1144527516
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Entity Type | Individual
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Provider Name | LAURIE-LYNN DIX SCHMIT MSW
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Gender | Female
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Dates
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Enumeration Date | 02/22/2011
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Last Update Date | 02/23/2025
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Provider Practice Location Address
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Address Line | 3101 N CENTRAL AVE STE 183-4728
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City | PHOENIX
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State | AZ
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Zip | 85012-2645
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Country | US
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Telephone | 520-200-1660
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Fax | 620-636-8512
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Provider Business Mailing Address
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Address Line | PO BOX 2023
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City | GRAND RAPIDS
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State | MI
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Zip | 49501-2023
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Country | US
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Telephone | 616-426-9226
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Fax | 616-825-5980
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801089864
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 22283
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License Number State | AZ
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