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General NPI Number Information
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NPI Number | 1093537086
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Entity Type | Organization
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Legal Business Name | BRUCE SCHNEIDER DDS INC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 117 RUE FONTAINE
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City | LAFAYETTE
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State | LA
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Zip | 70508-5744
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Country | US
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Telephone | 337-981-4744
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Fax | 337-981-4653
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Provider Business Mailing Address
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Address Line | 117 RUE FONTAINE
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City | LAFAYETTE
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State | LA
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Zip | 70508-5744
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Country | US
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Telephone | 337-981-4744
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Fax | 337-981-4653
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Authorized Official
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Title or Position | OWNER
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Name | DR. BRUCE ALAN SCHNEIDER
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Credential | DDS
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Telephone | 337-981-4744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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