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General NPI Number Information
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NPI Number | 1083756506
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Entity Type | Organization
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Legal Business Name | MARTIN G. SCHUH, PH.D., INC.
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9306 OLD KEENE MILL RD STE B
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City | BURKE
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State | VA
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Zip | 22015-4280
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Country | US
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Telephone | 703-440-9284
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Fax |
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Provider Business Mailing Address
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Address Line | 9306 OLD KEENE MILL RD STE B
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City | BURKE
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State | VA
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Zip | 22015-4280
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Country | US
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Telephone | 703-440-9284
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARTIN GEORGE SCHUH
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Credential | PH.D.
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Telephone | 703-440-9284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | 0810001085
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License Number State | VA
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