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General NPI Number Information
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NPI Number | 1609864958
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Entity Type | Organization
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Legal Business Name | SCHWARZ, CRUZ, LLP
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Dates
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Enumeration Date | 10/11/2005
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Last Update Date | 11/10/2010
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Provider Practice Location Address
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Address Line | 4109 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4141
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Country | US
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Telephone | 956-687-7141
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Fax | 956-687-8419
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Provider Business Mailing Address
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Address Line | 4109 N 22ND ST
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City | MCALLEN
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State | TX
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Zip | 78504-4141
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Country | US
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Telephone | 956-687-7141
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Fax | 956-687-8419
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Authorized Official
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Title or Position | ORAL SURGEON
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Name | GARY M SCHWARZ
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Credential | MD
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Telephone | 956-687-7141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 10156
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | 11854
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License Number State | TX
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