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General NPI Number Information
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NPI Number | 1366931651
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Entity Type | Individual
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Provider Name | KEVIN MCCABE SCHULTZ DNP, CRNA
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Gender | Male
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 28602 BAXTER RD
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City | MURRIETA
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State | CA
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Zip | 92563
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Country | US
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Telephone | 254-458-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 45670 SEAGULL WAY
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City | TEMECULA
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State | CA
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Zip | 92592-6883
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Country | US
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Telephone | 254-458-4244
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 836991
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95001557
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License Number State | CA
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