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General NPI Number Information
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NPI Number | 1225742760
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Entity Type | Individual
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Provider Name | CARLA MARIE SCHUTZ PTA
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Gender | Female
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Dates
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Enumeration Date | 01/10/2023
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Last Update Date | 01/10/2023
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Provider Practice Location Address
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Address Line | 11230 STATE ROUTE 364
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City | SAINT MARYS
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State | OH
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Zip | 45885-9534
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Country | US
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Telephone | 419-394-6757
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Fax |
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Provider Business Mailing Address
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Address Line | 9726 HOUSCHILT RD
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City | YORKSHIRE
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State | OH
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Zip | 45388-9738
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Country | US
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Telephone | 419-852-8026
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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 | PTA009283
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License Number State | OH
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