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General NPI Number Information
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NPI Number | 1912493115
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Entity Type | Individual
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Provider Name | ALAN GEOFFREY SCHMIDT MS
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Gender | Male
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 09/28/2024
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Provider Practice Location Address
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Address Line | 4200 COMMUNITY DR
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-2742
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Country | US
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Telephone | 540-654-0179
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Fax |
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Provider Business Mailing Address
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Address Line | 2450 E HOBSONWAY SPC 38
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City | BLYTHE
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State | CA
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Zip | 92225-4123
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Country | US
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Telephone | 760-797-5994
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 6710
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License Number State | CA
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