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General NPI Number Information
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NPI Number | 1164513859
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Entity Type | Individual
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Provider Name | KRISTINA MARIE SCHWARTZ O.D.
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Gender | Female
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2281 US HIGHWAY 68 S
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City | BELLEFONTAINE
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State | OH
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Zip | 43311-8904
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Country | US
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Telephone | 937-592-9019
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Fax | 937-592-9097
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Provider Business Mailing Address
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Address Line | 5051 STATE ROUTE 119
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City | MINSTER
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State | OH
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Zip | 45865-9404
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Country | US
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Telephone | 937-592-9019
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Fax | 937-592-9097
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 5421
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License Number State | OH
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