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General NPI Number Information
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NPI Number | 1770583577
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Entity Type | Individual
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Provider Name | ELIZABETH SCHULTZ MD
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Gender | Female
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Dates
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Enumeration Date | 07/22/2005
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Last Update Date | 08/25/2022
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Provider Practice Location Address
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Address Line | 1776 N PINE ISLAND RD STE 106
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City | PLANTATION
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State | FL
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Zip | 33322-5200
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Country | US
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Telephone | 954-376-3739
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Fax | 844-407-9213
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Provider Business Mailing Address
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Address Line | 500 KIRTS BLVD STE 100
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City | TROY
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State | MI
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Zip | 48084-4135
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Country | US
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Telephone | 248-434-6169
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Fax | 855-618-6655
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD00046728
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME108524
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License Number State | FL
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