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General NPI Number Information
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NPI Number | 1992097943
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Entity Type | Individual
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Provider Name | RYAN JOHN SCHUTT D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/10/2011
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 100 BREWSTER BLVD
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City | CAMP LEJEUNE
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State | NC
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Zip | 28547-2575
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Country | US
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Telephone | 361-960-9055
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Fax |
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Provider Business Mailing Address
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Address Line | 137 CONCH CT
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City | EMERALD ISLE
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State | NC
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Zip | 28594-2314
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Country | US
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Telephone | 361-960-9055
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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 | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 036-157029
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number | 2023-02849
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 2023-02849
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036-157029
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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