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General NPI Number Information
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NPI Number | 1518269745
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Entity Type | Individual
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Provider Name | TIMOTHY PETER SCHMIDT
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Gender | Male
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Dates
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Enumeration Date | 11/19/2010
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 601 5TH ST S 5TH FLOOR, DEPT 6941
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 612-703-0640
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Fax |
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Provider Business Mailing Address
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Address Line | 601 5TH ST S 5TH FLOOR, DEPT 6941
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-4804
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Country | US
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Telephone | 612-703-0640
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | R 174004-2
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | R 174004-2
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | ARNP 9309173
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License Number State | FL
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