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General NPI Number Information
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NPI Number | 1528446796
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Entity Type | Individual
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Provider Name | BRAD WILLIAM SCHNEIDER MD
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Gender | Male
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 04/27/2023
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Provider Practice Location Address
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Address Line | 2835 ELM RD NE STE 1
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City | WARREN
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State | OH
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Zip | 44483
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Country | US
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Telephone | 234-414-0215
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Fax |
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Provider Business Mailing Address
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Address Line | 187 SOUTHWOODS AVE
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-5413
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Country | US
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Telephone | 330-921-8441
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35.129629
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License Number State | OH
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