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General NPI Number Information
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NPI Number | 1629087838
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Entity Type | Organization
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Legal Business Name | STEVEN E SCHONFELD DDS INC
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2773 HARRIS ST SUITE B
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City | EUREKA
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State | CA
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Zip | 95503-4866
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Country | US
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Telephone | 707-444-0488
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Fax | 707-444-3632
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Provider Business Mailing Address
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Address Line | 2773 HARRIS ST SUITE B
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City | EUREKA
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State | CA
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Zip | 95503-4866
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Country | US
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Telephone | 707-444-0488
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Fax | 707-444-3632
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEVEN E SCHONFELD
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Credential | DDS
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Telephone | 707-444-3632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | 33213
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License Number State | CA
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