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General NPI Number Information
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NPI Number | 1982676540
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Entity Type | Individual
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Provider Name | JENNIFER JEAN SCHMIDT D.O.
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Gender | Female
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 111 ADVENT CT
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City | CARY
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State | NC
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Zip | 27511-7087
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Country | US
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Telephone | 919-468-6820
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Fax | 919-468-6484
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Provider Business Mailing Address
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Address Line | 109 SKYBROOK DR
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-7461
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Country | US
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Telephone | 919-367-0858
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | NC
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