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General NPI Number Information
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NPI Number | 1780048652
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Entity Type | Organization
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Legal Business Name | KRISTEN L SCHMIDT PHD
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Dates
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Enumeration Date | 04/07/2016
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Last Update Date | 04/07/2016
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Provider Practice Location Address
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Address Line | 1801 N MERIDIAN RD SUITE C
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5257
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Country | US
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Telephone | 850-264-2485
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Fax | 850-523-0864
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Provider Business Mailing Address
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Address Line | 1801 N MERIDIAN RD SUITE C
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City | TALLAHASSEE
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State | FL
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Zip | 32303-5257
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Country | US
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Telephone | 850-264-2485
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Fax | 850-523-0864
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. KRISTEN LEIGH SCHMIDT
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Credential | PHD
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Telephone | 850-264-2485
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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 |
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License Number State |
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