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General NPI Number Information
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NPI Number | 1285373688
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Entity Type | Organization
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Legal Business Name | JAMES T SCHULTZ D.D.S.
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 26206 W 12 MILE RD STE 104
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1799
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Country | US
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Telephone | 248-827-1220
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Fax | 248-827-8180
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Provider Business Mailing Address
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Address Line | 26206 W 12 MILE RD STE 104
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1799
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Country | US
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Telephone | 248-827-1220
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Fax | 248-827-8180
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Authorized Official
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Title or Position | MANAGER
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Name | KIMBERLY SYLVESTER
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Credential |
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Telephone | 248-827-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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