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General NPI Number Information
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NPI Number | 1386476414
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Entity Type | Individual
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Provider Name | CHAD WILLIAM SCHULZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/16/2024
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Last Update Date | 08/16/2024
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Provider Practice Location Address
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Address Line | 540 S 8TH AVE
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City | BROKEN BOW
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State | NE
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Zip | 68822-2456
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Country | US
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Telephone | 308-872-5231
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Fax |
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Provider Business Mailing Address
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Address Line | 6612 L AVENUE PL
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City | KEARNEY
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State | NE
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Zip | 68847-7201
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Country | US
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Telephone | 217-779-7602
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 18278
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License Number State | NE
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