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General NPI Number Information
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NPI Number | 1659566743
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Entity Type | Individual
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Provider Name | ALEX SCHMIDT PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/11/2007
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 960 E GREEN ST STE 203
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City | PASADENA
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State | CA
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Zip | 91106-2401
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Country | US
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Telephone | 323-841-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 685 BELVIDERE ST
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City | PASADENA
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State | CA
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Zip | 91104-3718
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Country | US
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Telephone | 323-841-1293
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 30426
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License Number State | CA
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