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General NPI Number Information
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NPI Number | 1629031471
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Entity Type | Individual
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Provider Name | JOHANN PETER SCHMOLCK MD
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Gender | Male
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Dates
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Enumeration Date | 04/11/2006
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1215 PLEASANT STREET SUITE 100
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City | DES MOINES
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State | IA
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Zip | 50309-1409
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Country | US
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Telephone | 515-336-6557
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Fax | 515-461-2223
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Provider Business Mailing Address
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Address Line | 1215 PLEASANT STREET SUITE 100
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City | DES MOINES
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State | IA
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Zip | 50309-1409
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Country | US
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Telephone | 515-336-6557
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Fax | 515-461-2223
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 34029
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License Number State | IA
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