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General NPI Number Information
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NPI Number | 1780082883
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Entity Type | Organization
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Legal Business Name | KARI J SCHMIDT, LPC, NCC, RPT-S
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Dates
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Enumeration Date | 12/05/2014
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Last Update Date | 12/05/2014
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Provider Practice Location Address
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Address Line | 1785 W STADIUM BLVD STE 201B
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City | ANN ARBOR
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State | MI
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Zip | 48103-5285
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Country | US
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Telephone | 734-761-6343
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Fax |
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Provider Business Mailing Address
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Address Line | 1785 W STADIUM BLVD STE 201B
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City | ANN ARBOR
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State | MI
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Zip | 48103-5285
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Country | US
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Telephone | 734-761-6343
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Fax |
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Authorized Official
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Title or Position | REGISTERED PLAY THERAPIST-SUPERVISO
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Name | KARI JESSICA SCHMIDT
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Credential | LPC, NCC, RPT-S
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Telephone | 734-761-6343
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 6401008157
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License Number State | MI
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