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General NPI Number Information
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NPI Number | 1336228915
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Entity Type | Organization
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Legal Business Name | JAMES G. SCHULZE, DDS, MS, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 16168 BEACH BLVD SUITE 90
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3816
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Country | US
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Telephone | 714-847-8488
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Fax | 714-847-1582
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Provider Business Mailing Address
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Address Line | 16168 BEACH BLVD SUITE 90
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-3816
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Country | US
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Telephone | 714-847-8488
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Fax | 714-847-1582
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Authorized Official
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Title or Position | PRESIDENT OF THE PROFESSIONAL CORP.
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Name | DR. JAMES GUERIN SCHULZE
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Credential | DDS, MS
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Telephone | 714-847-8488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 22759
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License Number State | CA
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