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General NPI Number Information
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NPI Number | 1154624369
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Entity Type | Organization
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Legal Business Name | STANLEY SCHWARTZ MD, LLC
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Dates
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Enumeration Date | 12/09/2010
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Last Update Date | 12/09/2010
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Provider Practice Location Address
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Address Line | 233 E LANCASTER AVE SUITE 305
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City | ARDMORE
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State | PA
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Zip | 19003-2321
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Country | US
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Telephone | 610-642-6800
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Fax | 610-642-6850
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Provider Business Mailing Address
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Address Line | 233 E LANCASTER AVE SUITE 305
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City | ARDMORE
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State | PA
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Zip | 19003-2321
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Country | US
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Telephone | 610-642-6800
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Fax | 610-642-6850
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Authorized Official
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Title or Position | PHYSICIAN
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Name | MR. STANLEY SCHWARTZ
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Credential | MD
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Telephone | 610-642-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | MD015605E
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License Number State | PA
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