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General NPI Number Information
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NPI Number | 1487822078
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Entity Type | Organization
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Legal Business Name | TED LE SCHWARM
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 06/18/2008
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Provider Practice Location Address
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Address Line | 3801 NORTH BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-3825
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Country | US
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Telephone | 225-381-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 3801 NORTH BLVD
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City | BATON ROUGE
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State | LA
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Zip | 70806-3825
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Country | US
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Telephone | 225-381-6620
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Fax |
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Authorized Official
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Title or Position | RESIDENT
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Name | DR. TED LE SCHWARM
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Credential | MD
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Telephone | 225-381-6620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | GETP.BRG.FM
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License Number State | LA
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