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General NPI Number Information
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NPI Number | 1669236550
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Entity Type | Individual
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Provider Name | KIMBERLY A SCHMIDT-O'CONNOR MASTERS DEGREE
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 1037 DUTCHER DR
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City | FISHKILL
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State | NY
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Zip | 12524-4905
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Country | US
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Telephone | 917-613-9928
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Fax |
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Provider Business Mailing Address
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Address Line | 1037 DUTCHER DR
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City | FISHKILL
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State | NY
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Zip | 12524-4905
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Country | US
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Telephone |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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