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General NPI Number Information
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NPI Number | 1710420609
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Entity Type | Individual
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Provider Name | EMILY MARIE SCHMALTZ
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Gender | Female
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Dates
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Enumeration Date | 11/23/2016
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Last Update Date | 08/09/2022
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Provider Practice Location Address
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Address Line | 124 W INDIAN TRL
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City | MILAN
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State | IN
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Zip | 47031-8992
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Country | US
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Telephone | 812-496-8784
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Fax | 812-654-7158
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Provider Business Mailing Address
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Address Line | 124 W INDIAN TRL
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City | MILAN
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State | IN
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Zip | 47031-8992
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Country | US
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Telephone | 812-654-7037
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Fax | 812-654-7158
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 3014923
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71006972A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 28202245A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 28202245A
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License Number State | IN
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