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General NPI Number Information
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NPI Number | 1831370840
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Entity Type | Organization
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Legal Business Name | JEFFREY E. SCHULTZ, O.D., INC
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Dates
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Enumeration Date | 11/19/2007
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 6060 ROCKSIDE WOODS BLVD N SUITE 110
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City | INDEPENDENCE
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State | OH
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Zip | 44131-7303
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Country | US
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Telephone | 216-581-8484
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Fax | 216-662-5445
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Provider Business Mailing Address
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Address Line | 6060 ROCKSIDE WOODS BLVD N SUITE 110
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City | INDEPENDENCE
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State | OH
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Zip | 44131-7303
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Country | US
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Telephone | 216-581-8484
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Fax | 216-662-5445
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY E. SCHULTZ
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Credential | O.D.
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Telephone | 216-581-8484
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 3416T157
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License Number State | OH
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