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General NPI Number Information
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NPI Number | 1619957842
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Entity Type | Individual
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Provider Name | DANIEL LEE SCHMIDT D.O.
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Gender | Male
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Dates
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Enumeration Date | 01/23/2006
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Last Update Date | 11/23/2015
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Provider Practice Location Address
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Address Line | 242 ENCHANGED RIVER ESTATES
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City | BANDERA
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State | TX
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Zip | 78003
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Country | US
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Telephone | 210-827-6536
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 2275 242 ENCHANTED RIVER ESTATES
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City | BANDERA
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State | TX
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Zip | 78003
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Country | US
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Telephone | 210-827-6536
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Fax | 830-334-2618
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | LTXBE5926
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | E-5926
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License Number State | TX
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