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General NPI Number Information
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NPI Number | 1104983089
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Entity Type | Individual
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Provider Name | SUSAN F SCHWARTZ M. D.
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 561 N PIKE RD
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City | SARVER
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State | PA
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Zip | 16055-8513
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Country | US
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Telephone | 724-360-0274
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Fax | 724-360-0200
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Provider Business Mailing Address
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Address Line | PO BOX 256
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City | CABOT
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State | PA
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Zip | 16023-1256
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Country | US
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Telephone | 724-360-0200
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Fax | 724-360-0200
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | MD042767E
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License Number State | PA
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