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General NPI Number Information
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NPI Number | 1316116999
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Entity Type | Organization
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Legal Business Name | BRUCE SCHWARTZ, D.D.S., M.S. P.C.
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Dates
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Enumeration Date | 02/27/2008
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Last Update Date | 02/27/2008
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Provider Practice Location Address
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Address Line | 7 ADAMS RD
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City | GREENFIELD
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State | MA
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Zip | 01301-1301
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Country | US
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Telephone | 413-774-5219
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Fax | 413-772-2550
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Provider Business Mailing Address
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Address Line | 7 ADAMS RD
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City | GREENFIELD
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State | MA
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Zip | 01301-1301
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Country | US
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Telephone | 413-774-5219
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Fax | 413-772-2550
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Authorized Official
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Title or Position | PROPRIETOR
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Name | BRUCE SCHWARTZ
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Credential | DDS, MS
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Telephone | 14137745219
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 15372
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License Number State | MA
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