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NPI 1598843914

NPI 1598843914 : SCHWEIGER DERMATOLOGY GROUP PA : LEESBURG, FL

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General NPI Number Information
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    NPI Number           |    1598843914
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    Entity Type          |    Organization 
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    Legal Business Name  |    SCHWEIGER DERMATOLOGY GROUP PA 
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Dates
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    Enumeration Date     |    11/02/2006
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    Last Update Date     |    12/13/2024
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Provider Practice Location Address
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    Address Line         |    1132 E NORTH BLVD 
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    City                 |    LEESBURG
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    State                |    FL
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    Zip                  |    34748-5350
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    Country              |    US
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    Telephone            |    352-365-6650
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    Fax                  |    352-365-0932
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Provider Business Mailing Address
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    Address Line         |    1132 E NORTH BLVD 
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    City                 |    LEESBURG
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    State                |    FL
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    Zip                  |    34748-5350
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    Country              |    US
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    Telephone            |    352-365-6650
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    Fax                  |    352-365-0932
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JORGE E TORRES 
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    Credential           |    
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    Telephone            |    352-365-6650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207ND0101X
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    Taxonomy Name        |    MOHS-Micrographic Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    
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    License Number State |    
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