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General NPI Number Information
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NPI Number | 1700963980
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Entity Type | Individual
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Provider Name | STEPHEN PHILLIP SCHMITTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 2825 OAK LAWN AVE UNIT 192749
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City | DALLAS
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State | TX
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Zip | 75219-4688
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Country | US
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Telephone | 510-683-9500
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Fax | 877-880-2039
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Provider Business Mailing Address
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Address Line | 2825 OAK LAWN AVE UNIT 192749
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City | DALLAS
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State | TX
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Zip | 75219-4688
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Country | US
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Telephone | 510-683-9500
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Fax | 877-880-2039
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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 | 2085B0100X
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Taxonomy Name | Body Imaging Physician
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License Number | A79565
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | A79565
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | U0848
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2022-03256
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number | A79565
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | A79565
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License Number State | CA
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