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General NPI Number Information
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NPI Number | 1164946950
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Entity Type | Organization
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Legal Business Name | ROBERT S SCHMIDT, MD PLLC
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Dates
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Enumeration Date | 08/02/2017
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Last Update Date | 08/02/2017
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Provider Practice Location Address
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Address Line | 1630 WILKES RIDGE PKWY STE 104
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City | RICHMOND
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State | VA
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Zip | 23233-7460
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Country | US
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Telephone | 804-762-0080
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Fax | 804-762-0081
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Provider Business Mailing Address
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Address Line | 14241 LEAFIELD DR
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City | MIDLOTHIAN
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State | VA
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Zip | 23113-6003
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Country | US
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Telephone | 979-774-2053
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT S SCHMIDT
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Credential | MD
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Telephone | 804-762-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0007X
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Taxonomy Name | Plastic Surgery within the Head & Neck (Otolaryngology) Physician
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License Number | 0101246722
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License Number State | VA
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