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General NPI Number Information
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NPI Number | 1396042495
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Entity Type | Individual
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Provider Name | ALAINA SCHMIDT D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 01/22/2019
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Provider Practice Location Address
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Address Line | 141 BANKS STA STE 121-122
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-7504
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Country | US
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Telephone | 770-716-9778
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Fax |
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Provider Business Mailing Address
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Address Line | 675 LAFAYETTE AVE APT 5301
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City | FAYETTEVILLE
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State | GA
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Zip | 30214-6500
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Country | US
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Telephone | 213-393-4239
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DN014528
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License Number State | GA
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