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General NPI Number Information
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NPI Number | 1467364125
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Entity Type | Individual
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Provider Name | ALICERUTH REYNOLDS SCHMITT
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Gender | Female
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Dates
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Enumeration Date | 09/18/2026
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Last Update Date | 09/18/2026
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Provider Practice Location Address
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Address Line | 380 SE BARRINGTON DR STE 203
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City | OAK HARBOR
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State | WA
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Zip | 98277-3266
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Country | US
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Telephone | 360-240-0022
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Fax | 509-474-1386
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Provider Business Mailing Address
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Address Line | 150 N OAK HARBOR ST
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City | OAK HARBOR
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State | WA
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Zip | 98277-4491
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Country | US
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Telephone | 801-602-8318
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State | WA
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