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General NPI Number Information
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NPI Number | 1427427798
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Entity Type | Organization
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Legal Business Name | MARK C. SCHUCHMAN, MD., PLLC
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Dates
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Enumeration Date | 09/17/2015
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Last Update Date | 09/17/2015
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Provider Practice Location Address
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Address Line | 11320 VIRIDIAN WAY
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City | AUSTIN
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State | TX
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Zip | 78739-2093
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Country | US
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Telephone | 973-895-4234
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Fax |
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Provider Business Mailing Address
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Address Line | 11320 VIRIDIAN WAY
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City | AUSTIN
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State | TX
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Zip | 78739-2093
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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 | OWNER
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Name | MARK C SCHUCHMAN
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Credential | MD
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Telephone | 972-895-4234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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