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General NPI Number Information
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NPI Number | 1528763182
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Entity Type | Individual
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Provider Name | NATHANIEL SCHUMM
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Gender | Male
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 05/30/2023
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Provider Practice Location Address
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Address Line | 3880 PAXTON AVE STE F
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City | CINCINNATI
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State | OH
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Zip | 45209-2372
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Country | US
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Telephone | 513-826-5726
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Fax |
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Provider Business Mailing Address
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Address Line | 12421 COUNTY ROAD P3
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City | NAPOLEON
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State | OH
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Zip | 43545-9486
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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 |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT.007162
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License Number State | OH
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