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General NPI Number Information
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NPI Number | 1609961036
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Entity Type | Individual
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Provider Name | GLYNDA KEVIN SCHMELZLA RN, RNFA
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 03/18/2019
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Provider Practice Location Address
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Address Line | 6917 E CALLE CENTURI
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City | TUCSON
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State | AZ
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Zip | 85710-5424
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Country | US
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Telephone | 520-392-8474
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Fax | 520-392-8474
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Provider Business Mailing Address
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Address Line | 1901 MILLER RD
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City | ROWLETT
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State | TX
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Zip | 75088-5604
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Country | US
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Telephone | 214-227-2457
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Fax | 214-764-0880
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN041640
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License Number State | AZ
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