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General NPI Number Information
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NPI Number | 1164087466
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Entity Type | Individual
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Provider Name | JESSICA LEE SCHULTE PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/02/2019
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 1110 WEST MAIN CROSS ST.
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City | FINDLAY
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State | OH
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Zip | 45840-2423
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Country | US
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Telephone | 419-423-5492
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Fax | 419-424-3424
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Provider Business Mailing Address
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Address Line | 4490 FREMONT PIKE
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City | PERRYSBURG
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State | OH
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Zip | 43551-9260
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Country | US
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Telephone | 419-266-4274
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 50.005940RX
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License Number State | OH
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