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General NPI Number Information
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NPI Number | 1841267267
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Entity Type | Individual
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Provider Name | CHRISTINE THOROGOOD SCHMITT MD
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Gender | Female
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Dates
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Enumeration Date | 03/03/2006
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Last Update Date | 08/11/2020
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Provider Practice Location Address
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Address Line | 841 PRUDENTIAL DR
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8329
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Country | US
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Telephone | 904-633-0920
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Fax | 904-633-0921
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Provider Business Mailing Address
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Address Line | PO BOX 44008 PROVIDER ENROLLMENT
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City | JACKSONVILLE
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State | FL
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Zip | 32231-4008
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Country | US
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Telephone | 904-244-3660
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Fax | 904-244-3425
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 0101231976
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 0101231976
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 2081P0010X
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Taxonomy Name | Pediatric Rehabilitation Medicine Physician
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License Number | ME111021
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License Number State | FL
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