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General NPI Number Information
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NPI Number | 1043208762
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Entity Type | Individual
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Provider Name | SUSANA SCHWARZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2005
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 592 CALLE CESAR GONZALEZ TORRE CIBELES APT.911
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City | SAN JUAN
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State | PR
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Zip | 00918-3926
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Country | US
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Telephone | 787-754-0907
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Fax | 787-751-3342
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Provider Business Mailing Address
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Address Line | TORRE CIBELES 911 592 CALLE CESAR GONZALES
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City | SAN JUAN
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State | PR
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Zip | 00918
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Country | US
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Telephone | 787-754-0907
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Fax | 787-751-3342
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 9700
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License Number State | PR
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