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General NPI Number Information
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NPI Number | 1346078177
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Entity Type | Individual
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Provider Name | VIVIEN SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 07/23/2024
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Last Update Date | 07/21/2026
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Provider Practice Location Address
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Address Line | 100 S LOS ROBLES AVE # 501
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City | PASADENA
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State | CA
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Zip | 91101-2453
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Country | US
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Telephone | 626-564-3016
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Fax |
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Provider Business Mailing Address
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Address Line | 9302 E GREENWAY ST
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City | MESA
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State | AZ
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Zip | 85207-4353
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Country | US
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Telephone | 952-288-4536
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95257385
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 341313
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License Number State | AZ
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