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NPI 1316290224

NPI 1316290224 : MARCIA L SCHMIDT DC : HUNTSVILLE, AR

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General NPI Number Information
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    NPI Number           |    1316290224
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    Entity Type          |    Individual 
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    Provider Name        |    MARCIA L SCHMIDT DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/17/2012
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    Last Update Date     |    10/17/2012
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Provider Practice Location Address
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    Address Line         |    412 MADISON 1516 
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    City                 |    HUNTSVILLE
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    State                |    AR
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    Zip                  |    72740-7954
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    Country              |    US
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    Telephone            |    479-595-2102
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    Fax                  |    866-201-3050
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Provider Business Mailing Address
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    Address Line         |    412 MADISON 1516 
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    City                 |    HUNTSVILLE
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    State                |    AR
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    Zip                  |    72740-7954
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    Country              |    US
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    Telephone            |    479-595-2102
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    Fax                  |    866-201-3050
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    1679
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    License Number State |    AR
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