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NPI 1538725064

NPI 1538725064 : KATHERINE MARGARET SCHMITZ : MINNETONKA, MN

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General NPI Number Information
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    NPI Number           |    1538725064
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    Entity Type          |    Individual 
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    Provider Name        |    KATHERINE MARGARET SCHMITZ
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/09/2019
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    Last Update Date     |    05/10/2019
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Provider Practice Location Address
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    Address Line         |    3395 PLYMOUTH RD 
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    City                 |    MINNETONKA
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    State                |    MN
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    Zip                  |    55305-3765
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    Country              |    US
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    Telephone            |    952-939-0396
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    Fax                  |    952-548-8760
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Provider Business Mailing Address
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    Address Line         |    372 DEER TRAIL LN 
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    City                 |    OAKFIELD
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    State                |    WI
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    Zip                  |    53065-9599
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    Country              |    US
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    Telephone            |    920-579-4703
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    
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