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General NPI Number Information
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NPI Number | 1730535360
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Entity Type | Individual
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Provider Name | PRISCILLA PEREZ SCHMID MPH, RDN, LDN
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Gender | Female
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Dates
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Enumeration Date | 05/12/2016
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Last Update Date | 11/16/2022
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Provider Practice Location Address
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Address Line | 118 N CONISTOR LN STE B-414
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City | LIBERTY
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State | MO
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Zip | 64068-1957
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Country | US
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Telephone | 816-368-1194
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Fax |
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Provider Business Mailing Address
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Address Line | 6821 N CORRINGTON AVE
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City | KANSAS CITY
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State | MO
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Zip | 64119-1618
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Country | US
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Telephone | 816-368-1194
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Fax |
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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 | 133VN1201X
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Taxonomy Name | Obesity and Weight Management Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 86043300
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License Number State | CA
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