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General NPI Number Information
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NPI Number | 1740509884
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Entity Type | Individual
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Provider Name | CHRISTOPHER DAVID SCHMELZLE PH.D.
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Gender | Male
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Dates
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Enumeration Date | 05/28/2010
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2202 N OLD STUMP WAY
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-7623
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Country | US
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Telephone | 619-455-8689
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Fax | 619-330-9676
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Provider Business Mailing Address
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Address Line | 2532 N 4TH ST # 584
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-3712
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Country | US
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Telephone | 619-455-8689
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Fax | 619-330-9676
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY31560
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY005422
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License Number State | AZ
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