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General NPI Number Information
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NPI Number | 1063417491
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Entity Type | Individual
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Provider Name | ISA SCHWARZBERG DPM
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Gender | Female
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Dates
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Enumeration Date | 06/13/2005
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 240 W PASSAIC ST SUITE 4
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City | MAYWOOD
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State | NJ
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Zip | 07607-1264
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Country | US
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Telephone | 201-880-6000
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Fax | 201-880-5999
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Provider Business Mailing Address
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Address Line | 240 W PASSAIC ST SUITE 4
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City | MAYWOOD
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State | NJ
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Zip | 07607-1264
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Country | US
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Telephone | 201-880-6000
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Fax | 201-880-5999
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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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 25MD00281000
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 5901002194
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | N005990
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License Number State | NY
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