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General NPI Number Information
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NPI Number | 1508486176
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Entity Type | Individual
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Provider Name | CAROL SCHMIDT PH.D., LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/23/2020
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 1722 S LEWIS RD
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City | CAMARILLO
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State | CA
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Zip | 93012-8520
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Country | US
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Telephone | 805-796-6264
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Fax |
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Provider Business Mailing Address
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Address Line | 3435 E THOUSAND OAKS BLVD UNIT 3382
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City | THOUSAND OAKS
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State | CA
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Zip | 91359-7916
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Country | US
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Telephone | 805-796-6264
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 14175
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License Number State | CA
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