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General NPI Number Information
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NPI Number | 1073616454
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Entity Type | Individual
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Provider Name | ROBERT D SCHONFIELD DDS
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Gender | Male
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Dates
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Enumeration Date | 09/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 126 BELLEW AVENUE
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City | WATERTOWN
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State | NY
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Zip | 13601
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Country | US
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Telephone | 315-788-0805
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Fax |
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Provider Business Mailing Address
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Address Line | 17180 COUNTY RTE 59 SOUTH SHORE ROAD
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City | DEXTER
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State | NY
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Zip | 13634
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Country | US
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Telephone | 315-639-3303
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 041327-1
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License Number State | NY
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