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General NPI Number Information
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NPI Number | 1679700314
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Entity Type | Individual
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Provider Name | STEPHANIE SCHMITZ D.D.S
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Gender | Female
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Dates
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Enumeration Date | 06/21/2009
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Last Update Date | 02/15/2019
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Provider Practice Location Address
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Address Line | 3610 S WESTERN AVE STE 200
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City | SIOUX FALLS
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State | SD
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Zip | 57105-6142
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Country | US
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Telephone | 605-339-4050
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Fax |
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Provider Business Mailing Address
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Address Line | 809 W. EAGLE RIDGE ST
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City | SIOUX FALLS
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State | SD
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Zip | 57108
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Country | US
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Telephone | 785-410-8350
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | D0952
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License Number State | SD
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