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NPI Code Detail

MEDICARE: DAWN SUZAN SCHMIDT

MEDICARE:   DAWN SUZAN 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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1710495999
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAWN SUZAN SCHMIDT
Provider Business Mailing Address
First Line : 2920 SHERIDAN LAKE RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-5350
Country : US
Telephone Number : 605-791-6700
Fax Number : 605-343-7293
Provider Business Practice Location Address
First Line : 2920 SHERIDAN LAKE RD
Second Line :
City : RAPID CITY
State : SD
Zip : 57702-5350
Country : US
Telephone Number : 605-791-6700
Fax Number : 605-343-7293
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2018
Last Update Date : 03/12/2024

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Directions to “ DAWN SUZAN SCHMIDT ” Practice Location

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