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General NPI Number Information
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NPI Number | 1205994506
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Entity Type | Individual
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Provider Name | BARRY SCHULMAN R.PH.
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Gender | Male
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Dates
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Enumeration Date | 12/05/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | W209N17321 INDUSTRIAL DR
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City | JACKSON
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State | WI
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Zip | 53037-9389
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Country | US
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Telephone | 262-677-1401
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Fax | 262-677-9112
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Provider Business Mailing Address
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Address Line | 5147 W WOODLAND DR
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City | MILWAUKEE
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State | WI
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Zip | 53223-1331
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 10011
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License Number State | WI
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