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General NPI Number Information
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NPI Number | 1912723834
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Entity Type | Individual
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Provider Name | NATHANIEL AARON SCHUG
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Gender | Male
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 7060 CAMP BOWIE BLVD
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City | FORT WORTH
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State | TX
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Zip | 76116-7119
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Country | US
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Telephone | 817-814-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 6040 PARKER BLVD APT 4206
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-0917
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Country | US
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Telephone | 217-200-3863
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 121437
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License Number State | TX
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