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General NPI Number Information
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NPI Number | 1245263243
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Entity Type | Organization
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Legal Business Name | GLOVER, KELTY & SCHULTHEIS MDS
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 215 W JANSS RD PATHOLOGY DEPARTMENT
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City | THOUSAND OAKS
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State | CA
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Zip | 91360-1847
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Country | US
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Telephone | 805-373-8582
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Fax | 805-373-6865
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Provider Business Mailing Address
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Address Line | PO BOX 29019
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City | GLENDALE
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State | CA
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Zip | 91209-9019
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Country | US
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Telephone | 800-288-8325
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Fax | 419-866-5453
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Authorized Official
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Title or Position | PATHOLOGIST/MANAGING PARTNER
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Name | DR. WAYNE MERRITT SCHULTHEIS
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Credential | M.D.
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Telephone | 805-373-8582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number |
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License Number State |
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