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General NPI Number Information
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NPI Number | 1720081607
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Entity Type | Organization
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Legal Business Name | MICHAEL J. SCHMIDT MD
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 10/15/2007
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Provider Practice Location Address
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Address Line | 5 MEDICAL PARK PLACE STE 308
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City | BENTON
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State | AR
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Zip | 72015-3745
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Country | US
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Telephone | 501-315-7808
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Fax | 501-315-4888
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Provider Business Mailing Address
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Address Line | 5 MEDICAL PARK PLACE STE 308
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City | BENTON
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State | AR
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Zip | 72015-3745
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | INSURANCE CONSULTANT
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Name | MRS. SANDY MEE
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Credential |
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Telephone | 501-315-7808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | N8431
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License Number State | AR
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