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General NPI Number Information
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NPI Number | 1881000206
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Entity Type | Individual
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Provider Name | JOHANNA SCHUTZER ATC
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 07/07/2014
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Provider Practice Location Address
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Address Line | 1013 N MAIN ST
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City | TRENTON
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State | FL
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Zip | 32693-3801
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Country | US
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Telephone | 352-463-3210
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Fax |
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Provider Business Mailing Address
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Address Line | 3700 WINDMEADOWS BLVD APARTMENT 298
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City | GAINESVILLE
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State | FL
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Zip | 32608-7698
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Country | US
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Telephone | 609-216-4568
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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