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General NPI Number Information
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NPI Number | 1982147500
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Entity Type | Individual
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Provider Name | TILLY SCHMIDT DNP, WHNP, FNP
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Gender | Female
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Dates
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Enumeration Date | 11/30/2016
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 300 W WELSH ST
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City | WILLIAMSBURG
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State | IA
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Zip | 52361-9485
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Country | US
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Telephone | 319-660-0005
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W WELSH ST
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City | WILLIAMSBURG
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State | IA
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Zip | 52361-9485
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Country | US
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Telephone | 319-660-0005
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 2015010522
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 2024023335
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 115680
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License Number State | NE
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Taxonomy #4
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 2016040786
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License Number State | MO
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Taxonomy #5
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F179509
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License Number State | IA
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