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General NPI Number Information
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NPI Number | 1851116602
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Entity Type | Individual
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Provider Name | TIFFANY ANN SCHMITT RN
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Gender | Female
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Dates
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Enumeration Date | 11/18/2024
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Last Update Date | 11/18/2024
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Provider Practice Location Address
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Address Line | 204 S CARNEY
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City | CARNEY
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State | OK
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Zip | 74832-9625
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Country | US
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Telephone | 405-865-2344
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Fax | 405-865-2345
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Provider Business Mailing Address
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Address Line | 910639 S WASHINGTON ST
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City | CHANDLER
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State | OK
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Zip | 74834-6652
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Country | US
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Telephone | 405-760-6712
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | R0082941
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License Number State | OK
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