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General NPI Number Information
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NPI Number | 1346426517
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Entity Type | Organization
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Legal Business Name | DR. BARRY SCHNEIDER
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 01/17/2008
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Provider Practice Location Address
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Address Line | 223 W BROAD ST
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City | TAMAQUA
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State | PA
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Zip | 18252-1834
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Country | US
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Telephone | 570-668-3194
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Fax | 570-668-0840
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Provider Business Mailing Address
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Address Line | 223 W BROAD ST
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City | TAMAQUA
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State | PA
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Zip | 18252-1834
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Country | US
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Telephone | 570-668-3194
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Fax | 570-668-0840
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. BARRY SCHNEIDER
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Credential |
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Telephone | 570-668-3194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number | OEGOOO920
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License Number State | PA
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