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General NPI Number Information
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NPI Number | 1174547897
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Entity Type | Individual
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Provider Name | ADAM SCHULTE ATC, LAT
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 4685 S ASH AVE SUITE H-1
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City | TEMPE
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State | AZ
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Zip | 85282-6857
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Country | US
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Telephone | 480-620-8660
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Fax |
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Provider Business Mailing Address
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Address Line | 5001 W FAIRVIEW ST
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City | CHANDLER
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State | AZ
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Zip | 85226-4514
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Country | US
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Telephone | 480-620-8660
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 0410
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License Number State | AZ
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