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General NPI Number Information
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NPI Number | 1629572649
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Entity Type | Individual
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Provider Name | MICHELLE LYNN SCHULTZ NURSE PRACTITIONER
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Gender | Female
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Dates
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Enumeration Date | 03/23/2018
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Last Update Date | 03/29/2023
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Provider Practice Location Address
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Address Line | 815 E LOCUST STREET HEARTLAND CARE PARTNERS
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City | DAVENPORT
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State | IA
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Zip | 52803-4345
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Country | US
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Telephone | 800-427-1902
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Fax | 419-531-2664
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Provider Business Mailing Address
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Address Line | 333 N SUMMIT STREET ; 7TH FLOOR HEARTLAND CARE PARTNERS
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City | TOLEDO
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State | OH
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Zip | 43604-2615
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Country | US
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Telephone | 419-252-6018
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Fax | 800-564-5952
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | A111366
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 209017321
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License Number State | IL
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