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General NPI Number Information
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NPI Number | 1508122904
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Entity Type | Organization
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Legal Business Name | JIMMY DOUGLAS SCHMIDT M.D., P.A.
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Dates
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Enumeration Date | 04/10/2012
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Last Update Date | 04/10/2012
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Provider Practice Location Address
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Address Line | 819 PEAKWOOD
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-444-1288
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Fax | 281-444-9177
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Provider Business Mailing Address
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Address Line | 819 PEAKWOOD
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City | HOUSTON
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State | TX
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Zip | 77090
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Country | US
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Telephone | 281-444-1288
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Fax | 281-444-9177
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Authorized Official
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Title or Position | OWNER
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Name | JIMMY D SCHMIDT
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Credential | MD
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Telephone | 281-444-1288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | D4297
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License Number State | TX
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