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General NPI Number Information
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NPI Number | 1053830224
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Entity Type | Organization
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Legal Business Name | DAVID SCHNAIDERMAN MD PA
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Dates
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Enumeration Date | 09/19/2017
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 4631 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-7794
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Country | US
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Telephone | 956-271-0660
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Fax | 956-525-4211
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Provider Business Mailing Address
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Address Line | 4631 S JACKSON RD
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City | EDINBURG
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State | TX
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Zip | 78539-7794
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Country | US
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Telephone | 956-271-0660
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Fax | 956-525-4211
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Authorized Official
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Title or Position | PRESIDENT
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Name | DAVID SCHNAIDERMAN
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Credential | MD
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Telephone | 956-271-0660
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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 | N2784
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | N2784
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License Number State | TX
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