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General NPI Number Information
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NPI Number | 1154193209
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Entity Type | Organization
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Legal Business Name | RICHARD J SCHWARTZ OD PLLC
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Dates
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Enumeration Date | 10/23/2023
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2626 DELAWARE AVE
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City | BUFFALO
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State | NY
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Zip | 14216-1737
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Country | US
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Telephone | 716-541-9431
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Fax |
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Provider Business Mailing Address
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Address Line | 435 ROWLEY RD
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City | DEPEW
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State | NY
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Zip | 14043-4216
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Country | US
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Telephone | 716-684-3399
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Fax |
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. RICHARD J SCHWARTZ
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Credential | OD
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Telephone | 716-684-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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