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General NPI Number Information
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NPI Number | 1639322167
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Entity Type | Individual
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Provider Name | ROBERT S SCHULL M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 44 HIDDEN COVE RD RFD BOX 481U
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City | EDGARTOWN
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State | MA
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Zip | 02539-6403
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Country | US
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Telephone | 508-693-6524
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Fax |
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Provider Business Mailing Address
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Address Line | 90 LAGUNA DR
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33418-5748
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Country | US
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Telephone | 508-693-6524
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 31158
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License Number State | MA
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