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General NPI Number Information
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NPI Number | 1457529075
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Entity Type | Individual
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Provider Name | FREDRIC E. SCHWARTZ
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Gender | Male
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Dates
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Enumeration Date | 02/17/2008
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Last Update Date | 02/17/2008
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Provider Practice Location Address
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Address Line | 25817 UNION TPKE
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City | GLEN OAKS
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State | NY
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Zip | 11004-1249
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Country | US
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Telephone | 718-831-6229
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Fax | 718-831-6231
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Provider Business Mailing Address
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Address Line | 20725 28TH AVE
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City | BAYSIDE
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State | NY
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Zip | 11360-2406
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Country | US
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Telephone | 718-225-8108
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 045637
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License Number State | NY
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