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General NPI Number Information
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NPI Number | 1104895200
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Entity Type | Individual
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Provider Name | ERIC J. SCHUSSLER PHD, PT, ATC, CSCS
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 3300 AZALEA GARDEN RD
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City | NORFOLK
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State | VA
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Zip | 23513-2239
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Country | US
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Telephone | 412-389-1041
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Fax |
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Provider Business Mailing Address
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Address Line | 534 MASSACHUSETTS AVE
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City | NORFOLK
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State | VA
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Zip | 23508-2116
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Country | US
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Telephone | 412-389-1041
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Fax | 402-436-2996
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT017332
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2744
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 2305210224
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License Number State | VA
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