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General NPI Number Information
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NPI Number | 1518210236
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Entity Type | Organization
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Legal Business Name | TODD A SCHNEIDERMAN, MD LLC
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Dates
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Enumeration Date | 10/18/2012
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Last Update Date | 10/18/2012
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Provider Practice Location Address
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Address Line | 676 ROUTE 202/206
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1761
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Country | US
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Telephone | 908-725-5050
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Fax | 908-927-1133
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Provider Business Mailing Address
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Address Line | 676 ROUTE 202/206
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City | BRIDGEWATER
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State | NJ
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Zip | 08807-1761
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Country | US
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Telephone | 908-725-5050
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Fax | 908-927-1133
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MICHELLE LOGSDON
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Credential |
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Telephone | 732-286-6006
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 25MA07416600
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License Number State | NJ
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