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General NPI Number Information
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NPI Number | 1578298253
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Entity Type | Individual
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Provider Name | TAYLOR NICOLE WOON HEE SCHMIDT MSW, LICSW, LADC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 1801 AMERICAN BLVD E
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1232
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Country | US
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Telephone | 651-424-4042
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Fax |
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Provider Business Mailing Address
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Address Line | 9700 WATERSTONE PL APT 218
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City | HOPKINS
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State | MN
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Zip | 55305-7504
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Country | US
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Telephone | 612-236-8155
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 305913
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 29530
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License Number State | MN
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