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General NPI Number Information
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NPI Number | 1376189738
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Entity Type | Individual
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Provider Name | CAROLYN SCHMIDT PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 11/20/2019
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Provider Practice Location Address
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Address Line | 1 TROY SQ
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City | TROY
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State | MO
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Zip | 63379-3101
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Country | US
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Telephone | 636-462-1251
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Fax |
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Provider Business Mailing Address
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Address Line | 18 STAUNTON WAY
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City | O FALLON
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State | MO
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Zip | 63368-8544
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Country | US
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Telephone | 636-627-8127
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 2010025186
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License Number State | MO
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