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General NPI Number Information
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NPI Number | 1851812077
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Entity Type | Individual
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Provider Name | GRETCHEN SCHMIDT WILDER PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 06/28/2017
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Provider Practice Location Address
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Address Line | 18169 TOWN CENTER DR
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City | OLNEY
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State | MD
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Zip | 20832-1482
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Country | US
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Telephone | 301-260-1401
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Fax | 301-260-1371
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Provider Business Mailing Address
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Address Line | 91 TRAVIS CT
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City | GAITHERSBURG
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State | MD
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Zip | 20879-3315
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Country | US
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Telephone | 301-351-9423
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 12541
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License Number State | MD
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