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NPI 1154533107

NPI 1154533107 : JOHN FRANCIS SCHILTZ M.D., PH.D. : KOKOMO, IN

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General NPI Number Information
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    NPI Number           |    1154533107
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN FRANCIS SCHILTZ M.D., PH.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/03/2007
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    Last Update Date     |    11/27/2023
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Provider Practice Location Address
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    Address Line         |    322 N MAIN ST 
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    City                 |    KOKOMO
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    State                |    IN
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    Zip                  |    46901-4622
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    Country              |    US
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    Telephone            |    765-453-8555
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    322 N MAIN ST 
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    City                 |    KOKOMO
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    State                |    IN
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    Zip                  |    46901-4622
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    Country              |    US
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    Telephone            |    765-453-8555
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    01065190A
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    License Number State |    IN
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Taxonomy #2
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    Taxonomy Code        |    2084P0800X
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    Taxonomy Name        |    Psychiatry Physician
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    License Number       |    01065190A
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    License Number State |    IN
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