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General NPI Number Information
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NPI Number | 1700904224
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Entity Type | Individual
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Provider Name | VALERIE ANNE SCHMIDT OTR
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Gender | Female
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 10/22/2012
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Provider Practice Location Address
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Address Line | 780 HEATHER CIR
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City | LAKE GENEVA
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State | WI
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Zip | 53147-4744
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Country | US
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Telephone | 815-482-4504
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Fax | 262-248-2309
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Provider Business Mailing Address
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Address Line | 780 HEATHER CIR
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City | LAKE GENEVA
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State | WI
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Zip | 53147-4744
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Country | US
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Telephone | 815-482-4504
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Fax | 262-248-2309
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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 | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | 056-004879
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 2647-26
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License Number State | WI
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