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General NPI Number Information
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NPI Number | 1033749775
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Entity Type | Individual
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Provider Name | DEBORAH SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 01/22/2020
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Last Update Date | 11/19/2021
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Provider Practice Location Address
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Address Line | 32 COLLEGE RD STE 4K
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City | FAIRBANKS
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State | AK
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Zip | 99701-1745
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Country | US
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Telephone | 907-374-1954
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Fax |
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Provider Business Mailing Address
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Address Line | 14301 FAA BLVD
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City | FORT WORTH
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State | TX
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Zip | 76155-2520
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Country | US
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Telephone | 800-492-4515
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Fax | 888-281-7280
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | AUDD89
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License Number State | AK
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