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General NPI Number Information
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NPI Number | 1164227294
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Entity Type | Individual
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Provider Name | MATTHEW SCHULTZ
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Gender | Male
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Dates
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Enumeration Date | 02/13/2025
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 4601 HARTFORD ST
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City | ABILENE
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State | TX
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Zip | 79605-4603
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Country | US
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Telephone | 325-793-3400
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Fax | 325-793-3587
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Provider Business Mailing Address
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Address Line | 3602 ROLLING GREEN DR APT 421
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City | ABILENE
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State | TX
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Zip | 79606-7914
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Country | US
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Telephone | 512-983-8894
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1404847
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License Number State | TX
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