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General NPI Number Information
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NPI Number | 1730389040
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Entity Type | Organization
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Legal Business Name | KARA S. SCHMIDT, PHD. LLC
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Dates
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Enumeration Date | 07/24/2007
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Last Update Date | 07/24/2007
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Provider Practice Location Address
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Address Line | 100 PARK AVE
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City | SWARTHMORE
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State | PA
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Zip | 19081-1727
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Country | US
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Telephone | 610-544-4490
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Fax | 610-544-4490
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Provider Business Mailing Address
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Address Line | 323 PARK AVE
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City | SWARTHMORE
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State | PA
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Zip | 19081-2014
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Country | US
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Telephone | 610-544-4490
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Fax | 610-544-4490
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Authorized Official
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Title or Position | CLINICAL NEUROPSYCHOLOGIST
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Name | DR. KARA SCHMIDT
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Credential | PHD
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Telephone | 610-544-4490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | PS015703
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License Number State | PA
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