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General NPI Number Information
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NPI Number | 1194453332
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Entity Type | Individual
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Provider Name | MADISON NOEL SCHUH PTA
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Gender | Female
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Dates
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Enumeration Date | 08/14/2022
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Last Update Date | 04/26/2024
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Provider Practice Location Address
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Address Line | 18001 HIGHWAY 105 W STE 106
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City | MONTGOMERY
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State | TX
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Zip | 77356-2881
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Country | US
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Telephone | 936-582-2464
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Fax |
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Provider Business Mailing Address
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Address Line | 40609 ROUNDUP RD
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City | MAGNOLIA
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State | TX
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Zip | 77354-1418
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Country | US
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Telephone | 281-841-3500
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 2170397
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License Number State | TX
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