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General NPI Number Information
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NPI Number | 1023205333
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Entity Type | Organization
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Legal Business Name | NATHAN D SCHWARTZ, DDS LLC
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Dates
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Enumeration Date | 10/01/2007
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Last Update Date | 10/01/2007
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Provider Practice Location Address
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Address Line | 537 S BOULDER HWY STE A
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City | HENDERSON
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State | NV
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Zip | 89015-8163
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Country | US
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Telephone | 702-564-2526
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Fax | 702-565-7852
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Provider Business Mailing Address
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Address Line | 537 S BOULDER HWY STE A
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City | HENDERSON
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State | NV
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Zip | 89015-8163
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Country | US
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Telephone | 702-564-2526
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Fax | 702-565-7852
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Authorized Official
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Title or Position | MEMBER
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Name | DR. NATHAN DAVID SCHWARTZ
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Credential | D.D.S.
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Telephone | 702-564-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 4800
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License Number State | NV
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