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General NPI Number Information
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NPI Number | 1093713240
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Entity Type | Individual
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Provider Name | DENNIE L SCHULTHEIS MD
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Gender | Male
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Dates
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Enumeration Date | 07/12/2005
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Last Update Date | 12/16/2019
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Provider Practice Location Address
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Address Line | 3946 NORWOOD AVE
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City | SACRAMENTO
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State | CA
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Zip | 95838-3300
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Country | US
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Telephone | 916-737-5555
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Fax | 877-860-2907
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Provider Business Mailing Address
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Address Line | 712 TURNSTONE DR
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City | SACRAMENTO
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State | CA
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Zip | 95834-1508
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Country | US
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Telephone | 707-845-1846
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Fax |
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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 | A60337
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License Number State | CA
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