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General NPI Number Information
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NPI Number | 1467595884
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Entity Type | Individual
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Provider Name | RICHARD J. SCHWARTZ O.D.
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Gender | Male
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 435 ROWLEY RD
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City | DEPEW
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State | NY
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Zip | 14043-4216
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Country | US
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Telephone | 716-684-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 875 BRIGHTON RD
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City | TONAWANDA
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State | NY
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Zip | 14150-8150
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Country | US
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Telephone | 716-832-0296
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Fax | 716-832-0943
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | TUV005070-1
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License Number State | NY
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