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General NPI Number Information
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NPI Number | 1336255900
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Entity Type | Individual
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Provider Name | WILLIAM J SCHMALZ MD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2006
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 3209 W FULLERTON PIKE SUITE E
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City | BLOOMINGTON
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State | IN
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Zip | 47403-4060
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Country | US
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Telephone | 812-825-6102
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Fax | 812-825-6148
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Provider Business Mailing Address
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Address Line | 3209 E FULLERTON PIKE SUITE E
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City | BLOOMINGTON
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State | IN
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Zip | 47403-3209
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Country | US
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Telephone | 812-825-6102
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Fax | 812-825-6148
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01024519
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License Number State | IN
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