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General NPI Number Information
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NPI Number | 1023062122
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Entity Type | Individual
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Provider Name | BARRY M. SCHWEIM DDS
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Gender | Male
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 7000 SAWGRASS VILLAGE CIR
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-5014
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Country | US
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Telephone | 904-273-5111
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Fax | 904-273-5222
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Provider Business Mailing Address
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Address Line | 411 PORPOISE POINT DR
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City | ST AUGUSTINE
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State | FL
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Zip | 32084-2959
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Country | US
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Telephone | 904-824-4937
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Fax | 904-273-5222
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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 | 11520
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License Number State | FL
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