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NPI 1366465536

NPI 1366465536 : PENNIE FAITH SCHWARTZ DC : MALVERNE, NY

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General NPI Number Information
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    NPI Number           |    1366465536
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    Entity Type          |    Individual 
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    Provider Name        |    PENNIE FAITH SCHWARTZ DC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    301 HEMPSTEAD AVE 
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    City                 |    MALVERNE
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    State                |    NY
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    Zip                  |    11565-1225
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    Country              |    US
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    Telephone            |    516-599-8523
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    Fax                  |    516-887-2569
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Provider Business Mailing Address
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    Address Line         |    301 HEMPSTEAD AVE 
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    City                 |    MALVERNE
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    State                |    NY
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    Zip                  |    11565-1225
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    Country              |    US
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    Telephone            |    516-599-8523
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    Fax                  |    516-887-2569
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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        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    X0045711
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    License Number State |    NY
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