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General NPI Number Information
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NPI Number | 1366474793
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Entity Type | Organization
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Legal Business Name | SCHULZ SURGICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 560 W MAIN ST SUITE 203
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City | LEWISVILLE
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State | TX
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Zip | 75057-3629
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Country | US
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Telephone | 214-222-7874
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Fax |
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Provider Business Mailing Address
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Address Line | 4404 YOUNG DR
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City | CARROLLTON
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State | TX
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Zip | 75010-1144
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MALCOLM SCHULZ
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Credential | M.D.
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Telephone | 214-222-7874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | L9894
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License Number State | TX
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