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NPI 1699469379

NPI 1699469379 : CARA MARIE SCHMIDT SAZAMA DC : RIVER FALLS, WI

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General NPI Number Information
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    NPI Number           |    1699469379
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    Entity Type          |    Individual 
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    Provider Name        |    CARA MARIE SCHMIDT SAZAMA DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/06/2023
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    Last Update Date     |    06/06/2023
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Provider Practice Location Address
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    Address Line         |    3533 STERLING HEIGHTS DR UNIT I
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    City                 |    RIVER FALLS
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    State                |    WI
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    Zip                  |    54022
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    Country              |    US
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    Telephone            |    651-323-2152
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3533 STERLING HEIGHTS DR UNIT I
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    City                 |    RIVER FALLS
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    State                |    WI
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    Zip                  |    54022
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    Country              |    US
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    Telephone            |    952-334-7284
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    7119
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    License Number State |    MN
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Taxonomy #2
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    6085-12
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    License Number State |    WI
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