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General NPI Number Information
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NPI Number | 1841414844
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Entity Type | Organization
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Legal Business Name | CAPITAL REGION EYE SPECIALIST AND SURGEON PLLC
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 04/20/2010
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Provider Practice Location Address
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Address Line | 1220 NEW SCOTLAND RD SUITE 101
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9386
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Country | US
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Telephone | 518-475-1515
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Fax | 518-475-0645
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Provider Business Mailing Address
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Address Line | 1220 NEW SCOTLAND RD SUITE 101
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City | SLINGERLANDS
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State | NY
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Zip | 12159-9386
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Country | US
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Telephone | 518-475-1515
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Fax | 518-475-0645
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Authorized Official
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Title or Position | OWNER
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Name | DR. ROBERT L SCHULTZE
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Credential | MD
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Telephone | 518-475-1515
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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