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General NPI Number Information
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NPI Number | 1124116629
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Entity Type | Individual
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Provider Name | STEPHEN SCOTT SCHNEIDER M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2006
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Last Update Date | 12/22/2009
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Provider Practice Location Address
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Address Line | 735 MONTGOMERY ST SUITE 300
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-2108
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Country | US
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Telephone | 415-776-7227
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Fax | 415-474-0393
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Provider Business Mailing Address
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Address Line | 208 SAN MARINO DR
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City | SAN RAFAEL
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State | CA
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Zip | 94901-1582
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Country | US
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Telephone | 415-453-8164
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G24113
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License Number State | CA
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