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General NPI Number Information
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NPI Number | 1457635138
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Entity Type | Individual
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Provider Name | PETER SCHUMANN
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Gender | Male
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Dates
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Enumeration Date | 09/29/2011
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Last Update Date | 09/29/2011
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Provider Practice Location Address
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Address Line | 318 W PROSPECT RD
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City | ASHTABULA
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State | OH
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Zip | 44004-5861
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Country | US
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Telephone | 440-992-3522
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Fax |
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Provider Business Mailing Address
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Address Line | 318 W PROSPECT RD
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City | ASHTABULA
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State | OH
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Zip | 44004-5861
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Country | US
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Telephone | 440-992-3522
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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 | 03113024
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 26013955A
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License Number State | IN
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