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General NPI Number Information
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NPI Number | 1154802981
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Entity Type | Organization
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Legal Business Name | MICHAEL SCHWARZ LPC PLLC
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Dates
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Enumeration Date | 08/29/2018
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Last Update Date | 08/29/2018
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Provider Practice Location Address
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Address Line | 215 N EAST AVE STE 102
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City | FAYETTEVILLE
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State | AR
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Zip | 72701-5296
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Country | US
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Telephone | 479-301-5290
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Fax | 479-435-6276
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Provider Business Mailing Address
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Address Line | PO BOX 64
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City | FAYETTEVILLE
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State | AR
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Zip | 72702-0064
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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 | LPC
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Name | MICHAEL SCHWARZ
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Credential |
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Telephone | 479-301-5290
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | P1807094
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License Number State | AR
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