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General NPI Number Information
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NPI Number | 1760469837
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Entity Type | Individual
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Provider Name | MARK D SCHMIDT MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 8780 RED LION 5 POINTS RD
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City | SPRINGBORO
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State | OH
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Zip | 45066-9606
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Country | US
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Telephone | 937-321-4958
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Fax | 937-866-8494
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Provider Business Mailing Address
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Address Line | 8780 RED LION FIVE POINTS RD
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City | SPRINGBORO
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State | OH
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Zip | 45066-9606
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Country | US
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Telephone | 937-951-0998
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Fax | 937-567-0076
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35054254S
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 35054254S
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License Number State | OH
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