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General NPI Number Information
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NPI Number | 1497851497
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Entity Type | Organization
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Legal Business Name | DAVID M SHULTZ M D , INC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 06/20/2013
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Provider Practice Location Address
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Address Line | 18350 ROSCOE BLVD SUITE 101
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4145
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Country | US
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Telephone | 818-349-8300
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Fax | 818-349-2214
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Provider Business Mailing Address
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Address Line | 18350 ROSCOE BLVD SUITE 101
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4109
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Country | US
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Telephone | 818-349-8300
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Fax | 818-349-2214
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DAVID M SHULTZ
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Credential | MD
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Telephone | 818-349-8300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | G13046
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License Number State | CA
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