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General NPI Number Information
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NPI Number | 1295997302
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Entity Type | Individual
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Provider Name | JULIO ESTUARDO SCHWARZ MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 5 GRADY JOHNSON RD
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City | STATESBORO
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State | GA
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Zip | 30458-6026
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Country | US
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Telephone | 912-489-6246
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Fax | 912-489-6346
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Provider Business Mailing Address
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Address Line | 5 GRADY JOHNSON RD
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City | STATESBORO
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State | GA
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Zip | 30458-6026
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Country | US
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Telephone | 912-489-6246
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Fax | 912-489-6346
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | TRN12478
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 076574
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 076574
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME110375
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License Number State | FL
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