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General NPI Number Information
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NPI Number | 1750351052
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Entity Type | Individual
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Provider Name | ROBERT C SCHMIDT LCPC NCC
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Gender | Male
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Dates
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Enumeration Date | 01/26/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 142 COURSEVALL DR
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City | CENTREVILLE
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State | MD
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Zip | 21617-1824
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Country | US
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Telephone | 410-758-1787
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Fax | 410-758-1789
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Provider Business Mailing Address
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Address Line | 828 AIRPAX RD SUITE 300B
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City | CAMBRIDGE
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State | MD
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Zip | 21613-6405
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Country | US
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Telephone | 410-228-3929
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Fax | 410-228-3810
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC0994
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License Number State | MD
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