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General NPI Number Information
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NPI Number | 1922393909
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Entity Type | Individual
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Provider Name | BRIAN RICHARD SCHULTZ M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/17/2011
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 1350 WALTON WAY
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City | AUGUSTA
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State | GA
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Zip | 30901-2612
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Country | US
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Telephone | 706-722-9011
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1705
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City | AUGUSTA
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State | GA
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Zip | 30903-1705
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Country | US
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Telephone |
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Fax | 208-215-2603
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 60878239
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 036133986
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A153719
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-17986
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License Number State | HI
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2021-02416
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License Number State | NC
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 94058
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License Number State | GA
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