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General NPI Number Information
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NPI Number | 1902138993
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Entity Type | Organization
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Legal Business Name | HOWARD L. SCHULTHEISS, JR., DPM, P.A.
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Dates
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Enumeration Date | 02/02/2010
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Last Update Date | 06/14/2010
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Provider Practice Location Address
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Address Line | 437 S MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-3919
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Country | US
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Telephone | 410-836-0131
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Fax | 410-836-8594
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Provider Business Mailing Address
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Address Line | 437 S MAIN ST
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City | BEL AIR
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State | MD
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Zip | 21014-3919
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Country | US
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Telephone | 410-836-0131
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Fax | 410-836-8594
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Authorized Official
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Title or Position | MEDICAL ADMINISTRATOR
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Name | MRS. VICKIE LYNN SCHULTHEISS
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Credential | MT ASCP
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Telephone | 410-836-0131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 01108
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License Number State | MD
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