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General NPI Number Information
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NPI Number | 1356467039
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Entity Type | Individual
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Provider Name | JUDITH MAY SCHWARTZ RN
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 920 E 28TH ST STE. 180
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-1139
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Country | US
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Telephone | 612-338-1100
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Fax | 612-871-9580
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Provider Business Mailing Address
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Address Line | 7400 DELLWOOD RD N
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City | MAHTOMEDI
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State | MN
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Zip | 55115-1456
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Country | US
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Telephone | 612-338-1100
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Fax | 612-871-9580
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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 | 163WA2000X
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Taxonomy Name | Administrator Registered Nurse
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License Number | R 071110 8
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License Number State | MN
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