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General NPI Number Information
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NPI Number | 1699307223
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Entity Type | Individual
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Provider Name | PAMELA LYNN SCHMIDT RN, ACNS-BC, APRN
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 1925 WOODWINDS DR
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City | WOODBURY
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State | MN
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Zip | 55125-4445
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Country | US
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Telephone | 651-232-0458
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Fax |
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Provider Business Mailing Address
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Address Line | 2385 COTTAGE DR
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City | STILLWATER
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State | MN
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Zip | 55082-5981
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Country | US
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Telephone | 218-205-6350
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 961275
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95093569
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 4488
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 364SA2200X
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Taxonomy Name | Adult Health Clinical Nurse Specialist
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License Number | 122
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License Number State | MN
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