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General NPI Number Information
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NPI Number | 1548337199
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Entity Type | Organization
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Legal Business Name | HEADACHE, NECK & FACIAL PAIN CLINIC PC
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Dates
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Enumeration Date | 11/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 29355 NORTHWESTERN HWY SUITE 202
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1053
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Country | US
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Telephone | 248-358-5500
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Fax | 248-386-9816
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Provider Business Mailing Address
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Address Line | 29355 NORTHWESTERN HWY SUITE 202
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City | SOUTHFIELD
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State | MI
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Zip | 48034-1053
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Country | US
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Telephone | 248-358-5500
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Fax | 248-386-9816
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Authorized Official
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Title or Position | PRESIDEMT
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Name | DR. DANIEL C SCHWARB
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Credential | D.D.S.
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Telephone | 248-358-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | DS011932
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License Number State | MI
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