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General NPI Number Information
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NPI Number | 1285113191
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Entity Type | Individual
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Provider Name | DAVID ANDREW SCHWARTZ LICSW
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Gender | Male
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 11/03/2020
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Provider Practice Location Address
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Address Line | 2444 MAIN ST
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City | BETHLEHEM
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State | NH
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Zip | 03574-4916
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Country | US
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Telephone | 603-869-0087
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2484
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City | NORTH CONWAY
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State | NH
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Zip | 03860-2484
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Country | US
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Telephone | 163-155-3901
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Fax |
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2405
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License Number State | NH
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