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General NPI Number Information
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NPI Number | 1124141395
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Entity Type | Organization
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Legal Business Name | ROY H. SCHNAUSS,M.D.
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 06/16/2008
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Provider Practice Location Address
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Address Line | 810 MARGARET STREET
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City | JACKSONVILLE
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State | FL
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Zip | 32204-3224
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Country | US
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Telephone | 904-356-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 804 MARGARET ST
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City | JACKSONVILLE
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State | FL
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Zip | 32204-3224
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPTICIAN
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Name | MR. ROBERT L GREMER
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Credential |
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Telephone | 904-356-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | 775
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License Number State | FL
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