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General NPI Number Information
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NPI Number | 1649614710
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Entity Type | Individual
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Provider Name | DANIEL ALEXANDER SCHULTZ PHARMD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 7512 LEM TURNER RD
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City | JACKSONVILLE
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State | FL
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Zip | 32208-3353
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Country | US
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Telephone | 904-924-9019
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Fax |
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Provider Business Mailing Address
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Address Line | 7512 LEM TURNER RD
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City | JACKSONVILLE
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State | FL
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Zip | 32208-3353
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Country | US
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Telephone | 904-924-9019
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS49467
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License Number State | FL
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