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General NPI Number Information
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NPI Number | 1952500134
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Entity Type | Individual
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Provider Name | KEVIN ROBERT SCHMIDT MD
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Gender | Male
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 3277 S LINCOLN ST
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City | ENGLEWOOD
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State | CO
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Zip | 80113-2512
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Country | US
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Telephone | 303-762-0808
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Fax | 303-762-9292
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Provider Business Mailing Address
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Address Line | 8000 E MAPLEWOOD AVE STE 200
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City | GREENWOOD VILLAGE
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State | CO
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Zip | 80111-4727
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Country | US
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Telephone | 303-762-0808
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Fax | 303-762-9292
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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 | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number | DR.0050147
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 50147
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License Number State | CO
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