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General NPI Number Information
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NPI Number | 1033250055
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Entity Type | Organization
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Legal Business Name | DR. HOWARD L. SCHULTHEISS, JR, DPM, P.A
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Dates
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Enumeration Date | 02/11/2007
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Last Update Date | 06/02/2011
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Provider Practice Location Address
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Address Line | 437 S MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-3919
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Country | US
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Telephone | 410-836-0131
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Fax | 410-836-8594
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Provider Business Mailing Address
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Address Line | 437 S MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-3919
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Country | US
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Telephone | 410-836-0131
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Fax | 410-836-8594
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. VICKIE LYNN SCHULTHEISS
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Credential | MT ASCP
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Telephone | 410-836-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP1100X
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Taxonomy Name | Podiatric Clinic/Center
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License Number | A1308
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License Number State | MD
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