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General NPI Number Information
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NPI Number | 1972492460
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Entity Type | Individual
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Provider Name | RYAN MACKENZIE SCHULTZ DDS
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Gender |
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 450 SUTTER ST RM 2536
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4204
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Country | US
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Telephone | 415-391-5207
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Fax |
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Provider Business Mailing Address
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Address Line | 875 30TH AVE
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City | SAN FRANCISCO
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State | CA
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Zip | 94121-3543
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Country | US
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Telephone | 949-355-5903
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111859
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License Number State | CA
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