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General NPI Number Information
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NPI Number | 1003125808
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Entity Type | Organization
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Legal Business Name | GARY SCHNEIDER D O INC
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Dates
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Enumeration Date | 09/28/2010
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 4835 VAN NUYS BLVD STE 109
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2134
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Country | US
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Telephone | 818-905-9586
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Fax | 818-905-0130
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Provider Business Mailing Address
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Address Line | 4835 VAN NUYS BLVD STE 109
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-2134
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Country | US
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Telephone | 818-905-9586
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Fax | 818-905-0130
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DONNA MCCANDLESS
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Credential |
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Telephone | 818-905-9586
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A4198
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License Number State | CA
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