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General NPI Number Information
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NPI Number | 1003089954
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Entity Type | Organization
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Legal Business Name | JAY H. SCHWARTZ, M.D., P.A.
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 06/25/2008
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Provider Practice Location Address
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Address Line | 131 JEFFERSON DAVIS BLVD SUITE B SUITE B
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City | NATCHEZ
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State | MS
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Zip | 39120
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Country | US
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Telephone | 601-334-1033
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Fax | 601-897-0198
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Provider Business Mailing Address
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Address Line | PO BOX 18001
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City | NATCHEZ
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State | MS
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Zip | 39122
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Country | US
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Telephone | 601-334-1033
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Fax | 601-897-0198
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | POLLY THOMPSON
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Credential |
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Telephone | 601-334-1033
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 18289
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License Number State | MS
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