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General NPI Number Information
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NPI Number | 1861125106
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Entity Type | Organization
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Legal Business Name | THADEUS SCHULZ MD PLLC
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Dates
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Enumeration Date | 07/05/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 902 S FRIENDSWOOD DR STE E
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5154
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Country | US
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Telephone | 315-569-5828
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Fax |
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Provider Business Mailing Address
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Address Line | 902 S FRIENDSWOOD DR STE E
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5154
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | THADEUS SCHULZ
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Credential | MD
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Telephone | 315-569-5828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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