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General NPI Number Information
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NPI Number | 1386603090
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Entity Type | Individual
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Provider Name | MS. WILLETTE MARIE SCHMIDT
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 502 E 5TH THOMPSON CUSTOM ORTHOTIC AND PROSTHETIC
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City | SPOKANE
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State | WA
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Zip | 99202-1313
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Country | US
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Telephone | 509-624-1308
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Fax | 509-624-5537
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Provider Business Mailing Address
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Address Line | 502 E 5TH THOMPSON CUSTOM ORTHOTIC AND PROSTHETIC
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City | SPOKANE
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State | WA
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Zip | 99202-1313
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Country | US
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Telephone | 509-624-1308
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Fax | 509-624-5537
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | OI00000348
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License Number State | WA
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