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General NPI Number Information
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NPI Number | 1437478633
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Entity Type | Individual
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Provider Name | GREGORY SCHMIDT D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 8212 E 73RD ST
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City | TULSA
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State | OK
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Zip | 74133-2901
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Country | US
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Telephone | 918-252-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 8212 E 73RD ST
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City | TULSA
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State | OK
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Zip | 74133-2901
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Country | US
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Telephone | 918-252-0555
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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 | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number | 2027
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License Number State | OK
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