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NPI Code Detail

MEDICARE: ANGELA DAWN SCHMIDT

MEDICARE:   ANGELA DAWN SCHMIDT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1222Q00000XDevelopmental Therapist200100735KY

General Provider Information

NPI Number : 1669179867
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA DAWN SCHMIDT
Provider Business Mailing Address
First Line : 304 ANDERSON FERRY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-5637
Country : US
Telephone Number : 513-254-3834
Fax Number :
Provider Business Practice Location Address
First Line : 304 ANDERSON FERRY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-5637
Country : US
Telephone Number : 513-254-3834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2023
Last Update Date : 02/08/2023

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Directions to “ ANGELA DAWN SCHMIDT ” Practice Location

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