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General NPI Number Information
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NPI Number | 1437465283
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Entity Type | Individual
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Provider Name | ANGELA EVA SCHMIDT M.S.
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Gender | Female
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Dates
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Enumeration Date | 08/30/2010
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Last Update Date | 01/09/2014
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Provider Practice Location Address
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Address Line | 404 N MAIN ST SUITE 507
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City | OSHKOSH
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State | WI
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Zip | 54901-4957
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Country | US
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Telephone | 414-315-9323
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Fax |
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Provider Business Mailing Address
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Address Line | 521 OTTER AVE
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City | OSHKOSH
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State | WI
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Zip | 54901-5103
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Country | US
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Telephone | 414-315-9323
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 544226
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 5077-125
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License Number State | WI
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