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General NPI Number Information
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NPI Number | 1306168257
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Entity Type | Individual
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Provider Name | CAROL A SCHULTZ R.PH.
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Gender | Female
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Dates
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Enumeration Date | 02/19/2010
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Last Update Date | 02/19/2010
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Provider Practice Location Address
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Address Line | 176 N MAIN ST
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City | FLORIDA
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State | NY
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Zip | 10921-1021
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Country | US
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Telephone | 917-647-1398
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 631
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City | LEBANON
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State | NJ
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Zip | 08833-0631
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Country | US
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Telephone | 908-236-7132
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 28RI01650600
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License Number State | NJ
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