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NPI 1104392976

NPI 1104392976 : JENNIFER SCHOENFELD, D.O., P.C. : WEST HEMPSTEAD, NY

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General NPI Number Information
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    NPI Number           |    1104392976
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    Entity Type          |    Organization 
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    Legal Business Name  |    JENNIFER SCHOENFELD, D.O., P.C. 
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Dates
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    Enumeration Date     |    10/19/2018
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    Last Update Date     |    10/19/2018
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Provider Practice Location Address
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    Address Line         |    669 COLONADE RD 
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    City                 |    WEST HEMPSTEAD
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    State                |    NY
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    Zip                  |    11552-3101
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    Country              |    US
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    Telephone            |    516-724-0488
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    Fax                  |    347-602-4628
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Provider Business Mailing Address
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    Address Line         |    669 COLONADE RD 
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    City                 |    WEST HEMPSTEAD
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    State                |    NY
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    Zip                  |    11552-3101
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    Country              |    US
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    Telephone            |    516-724-0488
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    Fax                  |    347-602-4628
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Authorized Official
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    Title or Position    |    PRINCIPAL
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    Name                 |    DR. JENNIFER  SCHOENFELD 
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    Credential           |    D.O
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    Telephone            |    516-724-0488
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    
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    License Number State |    
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