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General NPI Number Information
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NPI Number | 1588546568
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Entity Type | Individual
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Provider Name | OLIVER SCHULTZ DPT
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Gender | Male
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 2401 CABEZON BLVD SE STE 102
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City | RIO RANCHO
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State | NM
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Zip | 87124-1513
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Country | US
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Telephone | 505-994-2599
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Fax |
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Provider Business Mailing Address
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Address Line | 158 E MEADOWLARK LN
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City | CORRALES
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State | NM
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Zip | 87048-7442
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Country | US
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Telephone | 575-937-4294
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Fax |
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | PT-2024-0188
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License Number State | NM
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