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General NPI Number Information
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NPI Number | 1578337663
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Entity Type | Individual
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Provider Name | REBECCA LEE SCHMITT
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Gender | Female
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Dates
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Enumeration Date | 11/09/2023
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Last Update Date | 11/09/2023
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Provider Practice Location Address
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Address Line | 200 STEARNS AVE
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City | PAYNESVILLE
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State | MN
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Zip | 56362-1210
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Country | US
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Telephone | 320-979-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 51625 CSAH 20
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City | PAYNESVILLE
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State | MN
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Zip | 56362
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Country | US
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Telephone | 952-270-5826
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 04113
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License Number State | MN
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