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General NPI Number Information
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NPI Number | 1336888684
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Entity Type | Individual
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Provider Name | DR. DEVAN SCHULERT
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Gender | Male
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Dates
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Enumeration Date | 06/02/2022
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Last Update Date | 06/02/2022
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Provider Practice Location Address
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Address Line | 3436 CLEVELAND AVE
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City | FORT MYERS
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State | FL
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Zip | 33901-7108
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Country | US
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Telephone | 239-201-3480
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Fax |
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Provider Business Mailing Address
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Address Line | 1500 CENTREPARK BLVD APT 320
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-7455
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Country | US
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Telephone | 519-990-2996
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 26927
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License Number State | FL
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