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General NPI Number Information
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NPI Number | 1780250191
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Entity Type | Individual
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Provider Name | LAUREN SCHUTZ PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/27/2021
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Last Update Date | 05/27/2021
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Provider Practice Location Address
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Address Line | 2107 ROUTE 35
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City | HOLMDEL
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State | NJ
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Zip | 07733-2795
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Country | US
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Telephone | 732-706-5437
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Fax |
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Provider Business Mailing Address
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Address Line | 51 CABOT DR
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City | CHESTERBROOK
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State | PA
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Zip | 19087-5620
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | MA062172
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00621800
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License Number State | NJ
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