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NPI 1295148757

NPI 1295148757 : PAUL ALBERT SHULTZ M.D. : BEND, OR

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General NPI Number Information
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    NPI Number           |    1295148757
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    Entity Type          |    Individual 
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    Provider Name        |    PAUL ALBERT SHULTZ M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/03/2014
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    Last Update Date     |    04/01/2025
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Provider Practice Location Address
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    Address Line         |    2200 NE NEFF RD STE 200 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97701-4281
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    Country              |    US
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    Telephone            |    541-382-3344
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    Fax                  |    541-382-1681
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Provider Business Mailing Address
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    Address Line         |    1303 NE CUSHING DR STE 100 
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    City                 |    BEND
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    State                |    OR
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    Zip                  |    97701-3887
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    Country              |    US
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    Telephone            |    541-388-2333
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    Fax                  |    541-388-0930
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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        |    207XS0117X
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    Taxonomy Name        |    Orthopaedic Surgery of the Spine Physician
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    License Number       |    MD200056
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    License Number State |    OR
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Taxonomy #2
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    Taxonomy Code        |    207X00000X
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    Taxonomy Name        |    Orthopaedic Surgery Physician
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    License Number       |    MD200056
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    License Number State |    OR
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