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General NPI Number Information
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NPI Number | 1508262478
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Entity Type | Individual
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Provider Name | TZPIORA SCHWARTZ
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Gender | Female
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Dates
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Enumeration Date | 11/05/2014
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Last Update Date | 07/02/2018
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Provider Practice Location Address
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Address Line | 15599 AGNEW PL
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City | SOUTHFIELD
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State | MI
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Zip | 48075
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Country | US
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Telephone | 248-905-3866
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Fax |
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Provider Business Mailing Address
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Address Line | 58 BIRCH ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-4701
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Country | US
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Telephone | 732-597-3487
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1-14-9432
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License Number State |
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