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General NPI Number Information
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NPI Number | 1194136085
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Entity Type | Individual
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Provider Name | MISS BETHANY LEIGH SCHMIDT
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 05/13/2014
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Provider Practice Location Address
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Address Line | 815 W RIDGE AVE
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City | HARRISON
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State | AR
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Zip | 72601-3337
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Country | US
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Telephone | 870-741-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 1707A BOLIN HILL RD
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City | HARRISON
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State | AR
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Zip | 72601-9608
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Country | US
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Telephone | 479-325-8235
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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