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NPI 1750738050

NPI 1750738050 : JESSICA L SCHMIDT PT, DPT : CLYDE, OH

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General NPI Number Information
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    NPI Number           |    1750738050
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    Entity Type          |    Individual 
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    Provider Name        |    JESSICA L SCHMIDT PT, DPT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/17/2016
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    Last Update Date     |    01/05/2024
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Provider Practice Location Address
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    Address Line         |    7056 STATE ROUTE 412 
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    City                 |    CLYDE
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    State                |    OH
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    Zip                  |    43410-9737
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    Country              |    US
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    Telephone            |    419-202-5915
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7056 STATE ROUTE 412 
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    City                 |    CLYDE
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    State                |    OH
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    Zip                  |    43410-9737
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    Country              |    US
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    Telephone            |    419-202-5915
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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        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    MI
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    OH
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