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General NPI Number Information
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NPI Number | 1396649976
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Entity Type | Individual
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Provider Name | KALI SCHUTZ
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Gender |
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 100 WALDEN AVE
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City | TILTONSVILLE
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State | OH
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Zip | 43963-1131
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Country | US
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Telephone | 740-859-2800
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Fax |
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Provider Business Mailing Address
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Address Line | 2186 COUNTY ROAD 16
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City | RAYLAND
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State | OH
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Zip | 43943-7708
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Country | US
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Telephone | 724-984-9212
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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 | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | LSP.01515
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License Number State | OH
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