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General NPI Number Information
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NPI Number | 1952758963
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Entity Type | Individual
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Provider Name | KEVIN SCHUMAN R.T.
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Gender | Male
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Dates
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Enumeration Date | 05/19/2016
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Last Update Date | 05/19/2016
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Provider Practice Location Address
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Address Line | 8042 TUSCANY ST
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City | FONTANA
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State | CA
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Zip | 92336-3800
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Country | US
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Telephone | 626-628-4327
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Fax |
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Provider Business Mailing Address
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Address Line | 8042 TUSCANY ST
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City | FONTANA
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State | CA
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Zip | 92336-3800
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Country | US
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Telephone | 626-628-4327
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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 | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | 529817
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | RHF00104640
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License Number State | CA
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