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General NPI Number Information
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NPI Number | 1255634747
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Entity Type | Individual
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Provider Name | EUGENE L SCHOENFELD MD
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Gender | Male
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 04/24/2018
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Provider Practice Location Address
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Address Line | 1368 LINCOLN AVE STE 207
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2121
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Country | US
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Telephone | 415-331-6832
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Fax | 415-331-9513
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Provider Business Mailing Address
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Address Line | 1368 LINCOLN AVE STE 207
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City | SAN RAFAEL
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State | CA
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Zip | 94901-2121
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Country | US
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Telephone | 415-331-6832
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Fax | 415-331-9513
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | C24333
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C24333
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License Number State | CA
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