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General NPI Number Information
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NPI Number | 1982127031
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Entity Type | Organization
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Legal Business Name | CODY J. SCHMITT CHIROPRACTIC INCORPORATED
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Dates
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Enumeration Date | 07/20/2017
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Last Update Date | 08/14/2024
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Provider Practice Location Address
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Address Line | 319 NW MARTIN LUTHER KING JR BLVD
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City | EVANSVILLE
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State | IN
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Zip | 47708-1903
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Country | US
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Telephone | 812-423-9146
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Fax |
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Provider Business Mailing Address
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Address Line | 319 NW MARTIN LUTHER KING JR BLVD
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City | EVANSVILLE
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State | IN
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Zip | 47708-1903
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CODY J SCHMITT
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Credential | DC
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Telephone | 812-423-9146
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 08002973A
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License Number State | IN
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