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General NPI Number Information
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NPI Number | 1447670005
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Entity Type | Organization
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Legal Business Name | RICHARD WARREN SCHULZ
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Dates
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Enumeration Date | 04/22/2014
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Last Update Date | 04/22/2014
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Provider Practice Location Address
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Address Line | 3750 SENTARA WAY
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City | VIRGINIA BEACH
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State | VA
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Zip | 23452-4200
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Country | US
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Telephone | 571-296-1141
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Fax |
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Provider Business Mailing Address
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Address Line | 6045 BRADFORD DR APT B
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City | SUFFOLK
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State | VA
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Zip | 23435-2934
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Country | US
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Telephone | 571-296-1141
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | RICHARD WARREN SCHULZ
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Credential | PMHNP-BC
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Telephone | 571-296-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 0024171247
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License Number State | VA
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