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General NPI Number Information
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NPI Number | 1568539567
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Entity Type | Individual
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Provider Name | OSA SCHULTE PH.D, PT, GCFP/AT
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Gender | Female
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 10/30/2018
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Provider Practice Location Address
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Address Line | 5386 BRONCO DR
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City | CLARKSTON
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State | MI
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Zip | 48346-2608
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Country | US
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Telephone | 586-484-0549
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Fax | 248-922-1951
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Provider Business Mailing Address
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Address Line | 5386 BRONCO DR
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City | CLARKSTON
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State | MI
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Zip | 48346-2608
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Country | US
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Telephone | 586-323-6013
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Fax | 586-580-0070
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501000956
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License Number State | MI
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