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General NPI Number Information
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NPI Number | 1417312893
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Entity Type | Individual
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Provider Name | VICTORIA SCHMELZER
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Gender | Female
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Dates
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Enumeration Date | 12/29/2015
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 709 W MAIN ST
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City | MANCHESTER
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State | IA
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Zip | 52057-1526
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Country | US
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Telephone | 904-303-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 88515 WEISS ESTATES RD APT SUITE
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City | BANDON
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State | OR
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Zip | 97411-6320
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Country | US
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Telephone | 904-303-2400
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | D165533
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License Number State | IA
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