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General NPI Number Information
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NPI Number | 1841199833
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Entity Type | Individual
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Provider Name | STEFAN E SCHULENBERG PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/04/2026
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Last Update Date | 11/04/2026
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Provider Practice Location Address
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Address Line | 2301 S LAMAR BLVD STE W3224
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City | OXFORD
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State | MS
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Zip | 38655-5373
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Country | US
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Telephone | 662-915-3518
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Fax |
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Provider Business Mailing Address
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Address Line | 325 FOX HOLLOW CV
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City | TAYLOR
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State | MS
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Zip | 38673-9504
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Country | US
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Telephone | 662-832-2053
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 44-721
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License Number State | MS
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