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NPI 1053458349

NPI 1053458349 : ALAN SCHULTZ DO : LAKEWOOD, CO

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General NPI Number Information
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    NPI Number           |    1053458349
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    Entity Type          |    Individual 
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    Provider Name        |    ALAN SCHULTZ DO
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/30/2007
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    Last Update Date     |    02/18/2025
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Provider Practice Location Address
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    Address Line         |    165 S UNION BLVD STE 800 
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    City                 |    LAKEWOOD
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    State                |    CO
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    Zip                  |    80228-2213
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    Country              |    US
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    Telephone            |    303-988-2680
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    Fax                  |    303-986-8057
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Provider Business Mailing Address
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    Address Line         |    PO BOX 35380 
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    City                 |    LAS VEGAS
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    State                |    NV
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    Zip                  |    89133-5380
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    Country              |    US
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    Telephone            |    719-538-2900
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    Fax                  |    719-382-9905
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    46226
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    License Number State |    CO
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