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General NPI Number Information
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NPI Number | 1326780065
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Entity Type | Individual
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Provider Name | KATHRYN SCHMIDT
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Gender | Female
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Dates
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Enumeration Date | 04/12/2022
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 12152 TESSON FERRY RD
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City | SAINT LOUIS
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State | MO
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Zip | 63128-1779
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Country | US
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Telephone | 314-909-1920
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Fax |
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Provider Business Mailing Address
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Address Line | 5821 APPLEWOOD DR
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City | WATERLOO
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State | IA
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Zip | 50701-9416
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Country | US
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Telephone | 319-215-7409
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 2025027629
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License Number State | MO
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