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General NPI Number Information
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NPI Number | 1346430022
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Entity Type | Organization
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Legal Business Name | ALAN L SCHNEIDER MD PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 06/17/2008
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Provider Practice Location Address
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Address Line | 4558 SHERMAN OAKS AVE STE D
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City | SHERMAN OAKS
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State | CA
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Zip | 91403-3017
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Country | US
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Telephone | 818-990-0563
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Fax | 818-786-0530
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Provider Business Mailing Address
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Address Line | 13547 VENTURA BLVD # 376
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City | SHERMAN OAKS
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State | CA
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Zip | 91423-3825
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Country | US
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Telephone | 818-990-0563
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Fax | 818-786-0530
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Authorized Official
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Title or Position | MANAGER
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Name | TERRY SCHNEIDER
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Credential | RN
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Telephone | 818-472-1132
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | G53402
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License Number State | CA
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