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General NPI Number Information
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NPI Number | 1235875261
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Entity Type | Individual
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Provider Name | MICHELLE SCHULDT NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 05/11/2022
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Last Update Date | 05/03/2024
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Provider Practice Location Address
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Address Line | 238 BROOKLEY AVE SW
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City | BOLLING AFB
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State | DC
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Zip | 20032-7704
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Country | US
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Telephone | 757-329-2296
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Fax |
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Provider Business Mailing Address
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Address Line | 238 BROOKLEY AVE SW
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City | BOLLING AFB
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State | DC
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Zip | 20032-7704
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Country | US
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Telephone | 757-329-2296
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 11026089
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 200001526
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License Number State | DC
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