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General NPI Number Information
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NPI Number | 1023335452
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Entity Type | Organization
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Legal Business Name | C. KARL SCHULSTAD, M.D., PSC
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Dates
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Enumeration Date | 04/25/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1210 KY HIGHWAY 36 E SUITE 2B
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City | CYNTHIANA
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State | KY
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Zip | 41031-7490
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Country | US
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Telephone | 859-234-0390
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Fax | 859-234-0270
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Provider Business Mailing Address
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Address Line | 1210 KY HIGHWAY 36 E SUITE 2B
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City | CYNTHIANA
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State | KY
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Zip | 41031-7490
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Country | US
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Telephone | 859-234-0390
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Fax | 859-234-0270
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Authorized Official
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Title or Position | MD/OWNER
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Name | MR. C. KARL SCHULSTAD
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Credential | MD
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Telephone | 859-234-0390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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