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NPI 1275841157

NPI 1275841157 : ANNE VINCENT SCHMIDT L.C.S.W. : DELTA, CO

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General NPI Number Information
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    NPI Number           |    1275841157
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    Entity Type          |    Individual 
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    Provider Name        |    ANNE VINCENT SCHMIDT L.C.S.W.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2010
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    Last Update Date     |    09/14/2010
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Provider Practice Location Address
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    Address Line         |    195 STAFFORD LANE HOSPICE & PALLIATIVE CARE OF WESTERN CO
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    City                 |    DELTA
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    State                |    CO
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    Zip                  |    81416
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    Country              |    US
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    Telephone            |    970-361-8331
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    885 NW 9TH ST 
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    City                 |    CEDAREDGE
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    State                |    CO
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    Zip                  |    81413-3533
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    Country              |    US
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    Telephone            |    970-361-8331
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    992751
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    License Number State |    CO
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