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General NPI Number Information
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NPI Number | 1326265562
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Entity Type | Individual
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Provider Name | RANDY LEIGH SCHULMAN O.D.
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Gender | Female
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 03/13/2012
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Provider Practice Location Address
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Address Line | 139 MAIN ST
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City | NORWALK
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State | CT
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Zip | 06851-3709
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Country | US
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Telephone | 203-840-1991
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Fax |
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Provider Business Mailing Address
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Address Line | 33 INDIAN RD
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City | TRUMBULL
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State | CT
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Zip | 06611-2724
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Country | US
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Telephone | 203-452-9179
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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 | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number | 2299
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2299
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License Number State | CT
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