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General NPI Number Information
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NPI Number | 1114113883
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Entity Type | Individual
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Provider Name | SUNJYA SCHWEIG M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/17/2007
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Last Update Date | 09/17/2007
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Provider Practice Location Address
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Address Line | 1029 3RD ST
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City | SANTA ROSA
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State | CA
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Zip | 95404-6635
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Country | US
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Telephone | 707-522-1466
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Fax | 707-522-1467
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Provider Business Mailing Address
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Address Line | 1029 3RD ST
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City | SANTA ROSA
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State | CA
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Zip | 95404-6635
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Country | US
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Telephone | 707-522-1466
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Fax | 707-522-1467
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A93413
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License Number State | CA
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