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General NPI Number Information
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NPI Number | 1861592826
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Entity Type | Individual
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Provider Name | GAIL N SHULTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 4110 W SWEETWATER DR
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City | TUCSON
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State | AZ
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Zip | 85745-9348
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Country | US
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Telephone | 520-743-0411
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Fax |
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Provider Business Mailing Address
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Address Line | 6838 N CORTE CALABAZA
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City | TUCSON
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State | AZ
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Zip | 85704-4141
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Country | US
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Telephone | 520-743-0411
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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 | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | 6192
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License Number State | AZ
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