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General NPI Number Information
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NPI Number | 1437180379
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Entity Type | Individual
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Provider Name | ANTHONY P SCHIAVONE JR. DDS
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/24/2016
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Provider Practice Location Address
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Address Line | 1975 NILES CORTLAND RD NE STE 2
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City | WARREN
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State | OH
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Zip | 44484-1093
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Country | US
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Telephone | 330-393-3646
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Fax |
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Provider Business Mailing Address
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Address Line | 1975 NILES CORTLAND RD NE STE 2
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City | WARREN
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State | OH
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Zip | 44484-1093
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Country | US
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Telephone | 330-393-3646
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Fax |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30015796
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License Number State | OH
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