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General NPI Number Information
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NPI Number | 1225549769
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Entity Type | Individual
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Provider Name | BETH ANN MARIE SCHMIDLE CRNP
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Gender | Female
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Dates
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Enumeration Date | 10/23/2017
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Last Update Date | 03/09/2021
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Provider Practice Location Address
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Address Line | 540 SOUTH STREET - MEDICAL COMMONS 2 SUITE 302
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City | GREENSBURG
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State | PA
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Zip | 15601
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Country | US
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Telephone | 724-537-0885
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Fax | 724-532-1931
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Provider Business Mailing Address
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Address Line | 520 JEFFERSON AVE STE 400
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City | JEANNETTE
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State | PA
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Zip | 15644-2538
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Country | US
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Telephone | 724-689-1822
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Fax | 724-522-4002
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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 | 108550
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License Number State | WV
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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 | SP018013
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License Number State | PA
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