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General NPI Number Information
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NPI Number | 1538112966
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Entity Type | Individual
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Provider Name | ERIC SUREN SCHULZE MD PHD
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Gender | Male
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/18/2011
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Provider Practice Location Address
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Address Line | 7710T CHERRY PARK DR # 522
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City | HOUSTON
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State | TX
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Zip | 77095-2725
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Country | US
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Telephone | 877-572-8456
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1888
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City | GREENVILLE
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State | TX
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Zip | 75403
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Country | US
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Telephone | 800-945-2455
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Fax | 903-453-2541
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | L1455
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | E4290
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License Number State | AR
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD.12548R
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License Number State | LA
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