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General NPI Number Information
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NPI Number | 1225731797
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Entity Type | Individual
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Provider Name | LEANNE SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 03/23/2023
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 5841 S MARYLAND AVE
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City | CHICAGO
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State | IL
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Zip | 60637-1443
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Country | US
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Telephone | 773-702-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 81 MATT RDG
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City | VALPARAISO
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State | IN
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Zip | 46383-7973
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Country | US
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Telephone | 219-808-0958
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 041339540
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LN0000X
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Taxonomy Name | Neonatal Nurse Practitioner
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License Number | 209027323
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License Number State | IL
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