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General NPI Number Information
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NPI Number | 1720513534
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Entity Type | Individual
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Provider Name | MICHAEL SCHMITT
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Gender | Male
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Dates
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Enumeration Date | 04/30/2017
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 129 N BRIDGE ST
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City | JONESVILLE
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State | NC
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Zip | 28642
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Country | US
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Telephone | 336-835-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 101 MANNING DR
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City | CHAPEL HILL
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State | NC
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Zip | 27514-4220
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Country | US
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Telephone | 984-974-1485
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Fax | 984-974-0355
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 10774
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License Number State | NC
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