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NPI 1841320413

NPI 1841320413 : RICK R SCHMIDT MD PC : PURCELL, OK

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General NPI Number Information
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    NPI Number           |    1841320413
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    Entity Type          |    Organization 
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    Legal Business Name  |    RICK R SCHMIDT MD PC 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    08/01/2025
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Provider Practice Location Address
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    Address Line         |    1800 N GREEN AVE STE 100 
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    City                 |    PURCELL
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    State                |    OK
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    Zip                  |    73080-1630
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    Country              |    US
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    Telephone            |    405-527-7555
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    Fax                  |    833-797-1924
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Provider Business Mailing Address
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    Address Line         |    1401 N 4TH AVE STE 202 
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    City                 |    PURCELL
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    State                |    OK
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    Zip                  |    73080-1806
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    Country              |    US
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    Telephone            |    405-527-7555
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    Fax                  |    405-527-7596
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Authorized Official
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    Title or Position    |    PRESIDENT, OWNER
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    Name                 |    DR. RICKY R SCHMIDT 
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    Credential           |    MD
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    Telephone            |    405-527-7555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    15326
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    License Number State |    OK
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