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General NPI Number Information
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NPI Number | 1558724534
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Entity Type | Organization
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Legal Business Name | LUKE T. SCHULTZ, PH.D., LLC
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Dates
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Enumeration Date | 03/29/2016
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Last Update Date | 03/29/2016
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Provider Practice Location Address
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Address Line | 2245 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-1358
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Country | US
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Telephone | 267-994-3977
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Fax |
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Provider Business Mailing Address
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Address Line | 2245 WALBERT AVE
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City | ALLENTOWN
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State | PA
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Zip | 18104-1358
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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 | PSYCHOLOGIST
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Name | DR. LUKE T. SCHULTZ
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Credential | PH.D.
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Telephone | 267-994-3977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PS016964
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License Number State | PA
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