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General NPI Number Information
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NPI Number | 1437370640
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Entity Type | Individual
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Provider Name | WILLIAM THEODORE SCHWARTZ II DDS
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Gender | Male
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 15455 US HIGHWAY 441
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City | EUSTIS
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State | FL
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Zip | 32726-8321
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Country | US
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Telephone | 352-399-0911
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Fax |
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Provider Business Mailing Address
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Address Line | 15455 US HIGHWAY 441
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City | EUSTIS
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State | FL
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Zip | 32726-8321
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Country | US
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Telephone | 352-399-0911
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DN5060
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | DS017117L
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | G10000768
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License Number State | DE
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