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General NPI Number Information
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NPI Number | 1275764094
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Entity Type | Organization
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Legal Business Name | JEAN-CLAUDE SCHWARTZ, M.D., P.C.
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Dates
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Enumeration Date | 07/28/2009
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Last Update Date | 03/23/2010
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Provider Practice Location Address
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Address Line | 1058 BERMUDA RUN
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City | STATESBORO
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State | GA
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Zip | 30458-0858
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Country | US
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Telephone | 912-871-7100
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Fax | 912-871-7110
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Provider Business Mailing Address
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Address Line | 1058 BERMUDA RUN
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City | STATESBORO
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State | GA
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Zip | 30458-0858
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Country | US
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Telephone | 912-871-7100
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Fax | 912-871-7110
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JEAN-CLAUDE D SCHWARTZ
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Credential | MD
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Telephone | 912-871-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 062768
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License Number State | GA
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