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General NPI Number Information
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NPI Number | 1275254484
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Entity Type | Individual
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Provider Name | JAMES R SCHMIDT JR. BSW, LSW
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Gender | Male
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Dates
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Enumeration Date | 09/06/2022
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Last Update Date | 09/06/2022
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Provider Practice Location Address
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Address Line | 8916 FONTAINEBLEAU TER
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City | CINCINNATI
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State | OH
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Zip | 45231-4806
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Country | US
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Telephone | 513-728-3700
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Fax |
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Provider Business Mailing Address
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Address Line | 3613 EBENEZER RD
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City | CINCINNATI
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State | OH
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Zip | 45248-3009
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Country | US
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Telephone | 513-267-7565
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | 0028476
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License Number State | OH
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