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General NPI Number Information
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NPI Number | 1497713416
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Entity Type | Individual
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Provider Name | DONOVAN SCHMIDT DO
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 06/10/2010
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Provider Practice Location Address
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Address Line | 2002 STOCKTON HILL RD SUITE 103
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City | KINGMAN
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State | AZ
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Zip | 86401-4698
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Country | US
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Telephone | 928-753-3303
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Fax | 928-753-3603
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Provider Business Mailing Address
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Address Line | PO BOX 3909
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City | KINGMAN
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State | AZ
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Zip | 86402-3909
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Country | US
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Telephone | 928-753-3303
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Fax | 928-753-3603
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 2768
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License Number State | AZ
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