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General NPI Number Information
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NPI Number | 1386819456
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Entity Type | Organization
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Legal Business Name | DAVID L. SCHWARTZ D.M.D.
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 11317 S WESTERN AVE SUTIE 100B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170-5849
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Country | US
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Telephone | 405-691-0100
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Fax | 405-691-7892
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Provider Business Mailing Address
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Address Line | 11317 S WESTERN AVE SUTIE 100B
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City | OKLAHOMA CITY
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State | OK
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Zip | 73170-5849
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Country | US
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Telephone | 405-691-0100
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Fax | 405-691-7892
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. APRIL SHORT
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Credential |
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Telephone | 405-691-0100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 5004
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License Number State | OK
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