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General NPI Number Information
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NPI Number | 1619185295
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Entity Type | Individual
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Provider Name | IRVING SCHULTZ DDS
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 12/14/2025
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Provider Practice Location Address
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Address Line | 1 GREG LN
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-5522
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Country | US
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Telephone | 631-499-4900
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Fax | 631-499-3694
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Provider Business Mailing Address
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Address Line | 1 GREG LANE
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City | EAST NORTHPORT
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State | NY
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Zip | 11731-5522
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Country | US
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Telephone | 631-499-4900
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Fax | 631-499-3694
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 21631
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License Number State | NY
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