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General NPI Number Information
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NPI Number | 1770076622
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Entity Type | Individual
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Provider Name | THOMAS JOHN SCHUMANN
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Gender | Male
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Dates
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Enumeration Date | 06/14/2018
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 131 ROUTE 70 STE 100
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City | MEDFORD
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State | NJ
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Zip | 08055-9501
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Country | US
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Telephone | 609-267-9400
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Fax |
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Provider Business Mailing Address
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Address Line | 301 LIPPINCOTT DR STE 410
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City | MARLTON
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State | NJ
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Zip | 08053-4197
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Country | US
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Telephone |
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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 | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 25MB11510600
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS020844
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License Number State | PA
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