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General NPI Number Information
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NPI Number | 1730680547
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Entity Type | Individual
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Provider Name | RYAN SCHUETZLE
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Gender | Male
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 4711 GOLF RD STE 525
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City | SKOKIE
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State | IL
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Zip | 60076-1217
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Country | US
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Telephone | 224-470-8550
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Fax | 224-470-8553
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Provider Business Mailing Address
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Address Line | 4711 GOLF RD STE 525
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City | SKOKIE
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State | IL
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Zip | 60076-1217
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Country | US
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Telephone | 224-470-8550
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Fax | 224-470-8553
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | 211.000313
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | 213.000345
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License Number State | IL
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