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General NPI Number Information
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NPI Number | 1790313567
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Entity Type | Individual
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Provider Name | GREGORY SCHMIDT MD
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Gender | Male
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Dates
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Enumeration Date | 03/29/2020
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-5000
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Country | US
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Telephone | 301-295-5165
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Fax | 301-295-5170
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Provider Business Mailing Address
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Address Line | 8901 WISCONSIN AVE
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City | BETHESDA
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State | MD
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Zip | 20889-5600
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Country | US
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Telephone | 301-295-5165
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Fax | 301-295-5170
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101273053
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License Number State | VA
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