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General NPI Number Information
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NPI Number | 1699574962
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Entity Type | Individual
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Provider Name | NINA SCHMIDT
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Gender | Female
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Dates
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Enumeration Date | 03/10/2025
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 1537 DALE MABRY HWY STE 102
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City | LUTZ
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State | FL
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Zip | 33548-3020
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Country | US
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Telephone | 813-279-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 9564 LAKE CHASE ISLAND WAY
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City | TAMPA
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State | FL
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Zip | 33626-1929
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Country | US
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Telephone | 305-989-9761
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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