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General NPI Number Information
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NPI Number | 1275908105
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Entity Type | Organization
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Legal Business Name | NETANEL G. SCHWOB, M.D.,P.A.
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Dates
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Enumeration Date | 12/03/2015
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Last Update Date | 12/03/2015
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Provider Practice Location Address
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Address Line | 4000 OLD COURT RD SUITE 203
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City | BALTIMORE
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State | MD
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Zip | 21208-2800
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Country | US
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Telephone | 401-486-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 OLD COURT RD SUITE 203
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City | BALTIMORE
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State | MD
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Zip | 21208-2800
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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 | OWNER
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Name | DR. NETANEL SCHWOB
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Credential | M.D.
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Telephone | 410-486-6100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0210X
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Taxonomy Name | Pediatric Nephrology Physician
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License Number | D0047744
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License Number State | MD
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