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General NPI Number Information
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NPI Number | 1700721438
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Entity Type | Individual
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Provider Name | BRYDEN SCHMIDT
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Gender | Male
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Dates
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Enumeration Date | 04/20/2026
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Last Update Date | 04/20/2026
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Provider Practice Location Address
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Address Line | 5548 N GRAY DR
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City | PARK CITY
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State | KS
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Zip | 67219-6600
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Country | US
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Telephone | 316-993-5122
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Fax |
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Provider Business Mailing Address
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Address Line | 231 FIELDSTONE ST
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City | VALLEY CENTER
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State | KS
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Zip | 67147-9432
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Country | US
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Telephone | 316-993-5122
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 14-04193
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License Number State | KS
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