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General NPI Number Information
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NPI Number | 1780392019
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Entity Type | Individual
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Provider Name | CAITLIN ROSE SCHMIDT PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/07/2022
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 5700 BOTTINEAU BLVD
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City | CRYSTAL
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State | MN
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Zip | 55429-3183
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Country | US
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Telephone | 763-504-6500
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Fax | 763-537-1972
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Provider Business Mailing Address
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Address Line | 3935 71ST CT E
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City | INVER GROVE HEIGHTS
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State | MN
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Zip | 55076-2600
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Country | US
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Telephone | 952-212-5535
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 14195
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License Number State | MN
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