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General NPI Number Information
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NPI Number | 1376723486
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Entity Type | Organization
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Legal Business Name | AUGUST C SCHWENK, M.D.PC
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Dates
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Enumeration Date | 11/06/2007
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 16 FAHEY ST SUITE 201
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City | BELFAST
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State | ME
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Zip | 04915-6029
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Country | US
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Telephone | 207-338-4449
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Fax | 207-338-9663
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Provider Business Mailing Address
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Address Line | 16 FAHEY ST SUITE 201
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City | BELFAST
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State | ME
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Zip | 04915-6029
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Country | US
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Telephone | 207-338-4449
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Fax | 207-338-9663
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUGUST CHRISTIAN SCHWENK JR.
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Credential | M.D.
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Telephone | 207-338-4449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 00963
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License Number State | ME
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