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General NPI Number Information
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NPI Number | 1063031284
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Entity Type | Organization
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Legal Business Name | SCHRODI PROFESSIONAL DENTAL CORPORATION
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Dates
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Enumeration Date | 04/09/2020
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Last Update Date | 04/09/2020
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Provider Practice Location Address
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Address Line | 20933 DEVONSHIRE ST STE 103
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City | CHATSWORTH
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State | CA
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Zip | 91311-2393
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Country | US
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Telephone | 818-739-0182
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Fax |
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Provider Business Mailing Address
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Address Line | 20933 DEVONSHIRE ST STE 103
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City | CHATSWORTH
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State | CA
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Zip | 91311-2393
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Country | US
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Telephone | 818-739-0182
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | JANET SCHRODI
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Credential | DMD, MPH
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Telephone | 818-739-0182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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