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General NPI Number Information
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NPI Number | 1811221344
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Entity Type | Individual
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Provider Name | MARIANN SCHUSTER P.T.
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Gender | Female
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 4125 N 124TH ST STE A
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City | BROOKFIELD
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State | WI
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Zip | 53005-1837
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Country | US
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Telephone | 262-439-8602
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Fax |
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Provider Business Mailing Address
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Address Line | 9862 W ARGONNE DR
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City | WAUWATOSA
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State | WI
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Zip | 53222-3425
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Country | US
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Telephone | 414-442-2046
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 2518-024
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License Number State | WI
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