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General NPI Number Information
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NPI Number | 1770555310
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Entity Type | Individual
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Provider Name | RICHARD G SCHUSTER DO
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Gender | Male
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Dates
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Enumeration Date | 02/07/2006
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Last Update Date | 12/20/2018
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Provider Practice Location Address
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Address Line | 6117 ALLISONVILLE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4607
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Country | US
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Telephone | 317-434-1750
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Fax | 317-434-1750
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Provider Business Mailing Address
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Address Line | 6117 ALLISONVILLE RD
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-4607
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Country | US
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Telephone | 317-434-1750
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Fax | 317-434-1750
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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 | 204D00000X
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Taxonomy Name | Neuromusculoskeletal Medicine & OMM Physician
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License Number | 02004216A
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License Number State | IN
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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 | 02004216A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34006659S
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License Number State | OH
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Taxonomy #4
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 34006659S
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License Number State | OH
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Taxonomy #5
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 3943
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License Number State | IA
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Taxonomy #6
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 3943
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License Number State | IA
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