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General NPI Number Information
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NPI Number | 1699713479
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Entity Type | Individual
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Provider Name | MARK SCHULER PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/03/2006
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Last Update Date | 11/03/2008
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Provider Practice Location Address
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Address Line | 4601 EXCELSIOR BLVD SUITE 301B
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City | ST LOUIS PARK
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State | MN
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Zip | 55416-4960
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Country | US
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Telephone | 612-435-0413
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Fax | 877-704-1444
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Provider Business Mailing Address
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Address Line | 3812 THOMAS AVE S
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City | MINNEAPOLIS
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State | MN
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Zip | 55410-1232
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Country | US
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Telephone | 612-418-4700
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Fax | 612-926-2135
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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 | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | LP0851
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | LP0851
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License Number State | MN
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Taxonomy #3
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Taxonomy Code | 103TH0100X
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Taxonomy Name | Health Service Psychologist
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License Number | LP0851
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License Number State | MN
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