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General NPI Number Information
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NPI Number | 1356586192
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Entity Type | Organization
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Legal Business Name | GD SCHWARTZ MEDICAL PC
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Dates
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Enumeration Date | 12/09/2008
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Last Update Date | 12/09/2008
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Provider Practice Location Address
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Address Line | 1107 HIGHWAY 395 CARSON VALLEY MEDICAL CENTER
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City | GARDNERVILLE
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State | NV
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Zip | 89410-5304
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Country | US
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Telephone | 775-901-1944
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 840
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City | GENOA
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State | NV
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Zip | 89411-0940
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Country | US
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Telephone | 775-901-1944
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF CORPORATION
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Name | DR. GARRETT DONALD SCHWARTZ
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Credential | MD
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Telephone | 775-901-1944
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 9086
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License Number State | NV
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