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General NPI Number Information
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NPI Number | 1073254496
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Entity Type | Individual
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Provider Name | AJ SCHUSTER MD
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Gender |
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Dates
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Enumeration Date | 04/07/2022
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 470 NE A ST
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City | MADRAS
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State | OR
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Zip | 97741-1844
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Country | US
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Telephone | 541-475-4800
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Fax | 541-475-4805
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE STE 150
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City | LOVELAND
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State | CO
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Zip | 80538-9071
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Country | US
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Telephone | 970-495-8800
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Fax | 970-495-8891
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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 | DR.0071657
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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