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General NPI Number Information
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NPI Number | 1861589145
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Entity Type | Organization
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Legal Business Name | MARCIA SCHULTZ, PSY.D., INC.
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/10/2010
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Provider Practice Location Address
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Address Line | 3111 N UNIVERSITY DR 400
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-5086
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Country | US
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Telephone | 954-649-1957
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Fax | 954-752-9562
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Provider Business Mailing Address
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Address Line | 9951 NW 38TH ST
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City | CORAL SPRINGS
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State | FL
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Zip | 33065-2830
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Country | US
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Telephone | 954-752-7707
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Fax | 954-752-9562
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. MARCIA SCHULTZ
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Credential | PSY.D.
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Telephone | 954-649-1957
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY4717
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License Number State | FL
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