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General NPI Number Information
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NPI Number | 1831017029
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Entity Type | Individual
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Provider Name | HEATHER LEE SCHULTZ
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Gender | Female
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 604 OLD GREEN LAKE RD
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City | PRINCETON
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State | WI
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Zip | 54968-8667
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Country | US
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Telephone | 608-386-0969
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Fax | 920-295-6571
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Provider Business Mailing Address
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Address Line | W5970 HOLMES RD
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City | PRINCETON
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State | WI
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Zip | 54968-8452
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Country | US
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Telephone | 608-386-0969
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Fax | 920-295-6571
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 3590001217
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License Number State | WI
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