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NPI 1568664316

NPI 1568664316 : JOSHUA DEAN SCHULTE MD : EDINA, MN

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General NPI Number Information
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    NPI Number           |    1568664316
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    Entity Type          |    Individual 
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    Provider Name        |    JOSHUA DEAN SCHULTE MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/04/2007
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    Last Update Date     |    03/08/2017
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Provider Practice Location Address
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    Address Line         |    6405 FRANCE AVE S #W440
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55435-2163
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    Country              |    US
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    Telephone            |    952-927-7004
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    Fax                  |    952-927-5146
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Provider Business Mailing Address
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    Address Line         |    6405 FRANCE AVE S #W440
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    City                 |    EDINA
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    State                |    MN
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    Zip                  |    55435-2163
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    Country              |    US
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    Telephone            |    952-927-7004
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    Fax                  |    952-927-5146
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    55161
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    License Number State |    MN
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