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General NPI Number Information
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NPI Number | 1699110577
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Entity Type | Individual
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Provider Name | LATONIA R. SCHMIDT L.M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 05/06/2013
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Last Update Date | 05/06/2013
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Provider Practice Location Address
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Address Line | 607B LARKIN SPRINGS RD
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City | MADISON
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State | TN
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Zip | 37115-5007
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Country | US
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Telephone | 615-788-5589
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Fax |
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Provider Business Mailing Address
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Address Line | 312 AB WADE RD
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City | PORTLAND
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State | TN
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Zip | 37148-4905
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Country | US
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Telephone | 615-788-5589
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 533
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License Number State | TN
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