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General NPI Number Information
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NPI Number | 1811608821
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Entity Type | Organization
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Legal Business Name | JOERG SCHULLER MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/09/2022
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 3181 COLLINS DR STE B
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City | MERCED
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State | CA
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Zip | 95348-3113
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Country | US
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Telephone | 209-580-5767
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Fax | 209-697-6454
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Provider Business Mailing Address
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Address Line | 3181 COLLINS DR STE B
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City | MERCED
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State | CA
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Zip | 95348-3113
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Country | US
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Telephone | 209-580-5767
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Fax | 209-697-6454
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOERG SCHULLER
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Credential | MD
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Telephone | 209-631-6576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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