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General NPI Number Information
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NPI Number | 1609901354
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Entity Type | Individual
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Provider Name | GEORGE SCHWENCK D.P.M. PA
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Gender | Male
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 3700 WASHINGTON ST STE 500A
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City | HOLLYWOOD
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State | FL
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Zip | 33021-8256
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Country | US
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Telephone | 954-278-7757
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Fax | 877-289-0103
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Provider Business Mailing Address
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Address Line | 1584 NE 108TH ST
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City | MIAMI
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State | FL
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Zip | 33161-7427
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Country | US
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Telephone | 305-505-1873
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Fax | 877-289-0103
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | P0001896
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License Number State | FL
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