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General NPI Number Information
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NPI Number | 1235933250
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Entity Type | Individual
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Provider Name | MELISSA SUZANE SCHMOKEL
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 5588 HERRING LN
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City | DAYTON
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State | VA
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Zip | 22821-2805
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Country | US
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Telephone | 540-810-8625
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Fax |
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Provider Business Mailing Address
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Address Line | 5588 HERRING LN
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City | DAYTON
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State | VA
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Zip | 22821-2805
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Country | US
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Telephone | 540-810-8625
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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 | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number | 3729
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License Number State | VA
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