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General NPI Number Information
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NPI Number | 1134279250
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Entity Type | Individual
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Provider Name | GAYLAIN LEE SCHUMACHER PHYSICAL THERAPIST
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Gender | Male
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Dates
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Enumeration Date | 01/11/2007
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Last Update Date | 03/27/2008
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Provider Practice Location Address
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Address Line | 1062 S STATE ROAD 19 SUITE 1
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City | PALATKA
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State | FL
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Zip | 32177-9050
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Country | US
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Telephone | 386-329-5576
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Fax | 386-329-8922
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Provider Business Mailing Address
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Address Line | 1062 S STATE ROAD 19 SUITE 1
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City | PALATKA
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State | FL
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Zip | 32177-9050
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Country | US
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Telephone | 386-329-5576
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Fax | 386-329-8922
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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 | PT3591
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License Number State | FL
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