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General NPI Number Information
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NPI Number | 1902175060
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Entity Type | Individual
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Provider Name | ALEXANDRIA LYNNE SCHMINKE LMSW
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Gender | Female
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Dates
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Enumeration Date | 12/19/2011
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Last Update Date | 12/19/2011
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Provider Practice Location Address
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Address Line | 1519 S GILBERT ST
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City | IOWA CITY
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State | IA
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Zip | 52240-4367
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Country | US
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Telephone | 319-351-4415
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Fax |
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Provider Business Mailing Address
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Address Line | 40 VILLAGE DR APT. 2
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City | NORTH LIBERTY
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State | IA
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Zip | 52317-9769
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Country | US
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Telephone | 515-408-1824
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 007744
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License Number State | IA
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