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General NPI Number Information
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NPI Number | 1548525769
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Entity Type | Individual
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Provider Name | WANDA A SCHULTZ RN
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Gender | Female
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Dates
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Enumeration Date | 07/13/2012
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 3176 ABBOTT ROAD SUITE 500
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City | ORCHARD PARK
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State | NY
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Zip | 14127
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Country | US
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Telephone | 716-882-8117
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Fax | 716-559-1565
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Provider Business Mailing Address
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Address Line | 3176 ABBOTT ROAD SUITE 500
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City | ORCHARD PARK
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State | NY
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Zip | 14127
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Country | US
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Telephone | 716-882-8117
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Fax | 716-559-1565
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 291419
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 793748-01
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License Number State | NY
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