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General NPI Number Information
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NPI Number | 1477935534
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Entity Type | Organization
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Legal Business Name | SCHIRMER DENTISTRY, PLLC
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Dates
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Enumeration Date | 06/25/2015
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Last Update Date | 01/03/2017
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Provider Practice Location Address
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Address Line | 1435 S TAMIAMI TRL STE B
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City | SARASOTA
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State | FL
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Zip | 34239-2902
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Country | US
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Telephone | 941-256-3675
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Fax |
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Provider Business Mailing Address
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Address Line | 1435 S TAMIAMI TRL STE B
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City | SARASOTA
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State | FL
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Zip | 34239-2902
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Country | US
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Telephone | 941-256-3675
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | DR. DAVID C SCHIRMER
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Credential | DDS
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Telephone | 941-256-3675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | DN 21049
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License Number State | FL
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