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General NPI Number Information
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NPI Number | 1316283575
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Entity Type | Individual
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Provider Name | FRANK JOSEPH SCHWENDEMAN JR. OD
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Gender | Male
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Dates
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Enumeration Date | 12/17/2012
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 12300 S IL ROUTE 47
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City | HUNTLEY
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State | IL
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Zip | 60142-9634
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Country | US
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Telephone | 847-802-3087
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Fax | 847-669-1099
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Provider Business Mailing Address
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Address Line | 9877 WILLIAMS DR
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City | HUNTLEY
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State | IL
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Zip | 60142-6035
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Country | US
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Telephone | 224-345-4333
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1465DT
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 046.010920
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License Number State | IL
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