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General NPI Number Information
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NPI Number | 1588844765
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Entity Type | Individual
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Provider Name | JEROMY T SCHULTZ PT
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Gender | Male
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 05/02/2019
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Provider Practice Location Address
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Address Line | 187 COLUMBUS RD
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City | ATHENS
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State | OH
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Zip | 45701-1315
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Country | US
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Telephone | 740-592-4778
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Fax | 740-592-2244
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Provider Business Mailing Address
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Address Line | 1255 E CANAL ST
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City | NELSONVILLE
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State | OH
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Zip | 45764-8000
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Country | US
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Telephone | 740-753-4567
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Fax | 740-753-4626
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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 | 11149
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License Number State | OH
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