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General NPI Number Information
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NPI Number | 1831230358
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Entity Type | Individual
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Provider Name | DEBRA DAMICO SCHMITZ OT
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Gender | Female
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 01/16/2024
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Provider Practice Location Address
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Address Line | 2555 N GORDON PL
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City | MILWAUKEE
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State | WI
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Zip | 53212
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Country | US
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Telephone | 414-378-5303
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Fax | 414-376-5552
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Provider Business Mailing Address
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Address Line | 2555 N GORDON PL
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City | MILWAUKEE
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State | WI
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Zip | 53212-3018
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Country | US
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Telephone | 414-378-5303
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Fax | 414-376-5552
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 6197-26
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 056006553
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License Number State | IL
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