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General NPI Number Information
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NPI Number | 1629131743
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Entity Type | Individual
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Provider Name | ROLAND F SCHWARZ O.D.
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Gender | Male
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 03/05/2010
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Provider Practice Location Address
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Address Line | 3405 S LINDEN RD GENESEE VALLEY MALL
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City | FLINT
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State | MI
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Zip | 48507-3009
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Country | US
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Telephone | 810-732-4110
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Fax | 810-732-7574
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Provider Business Mailing Address
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Address Line | 13117 HARBOR LANDINGS DR
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City | FENTON
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State | MI
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Zip | 48430-3900
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Country | US
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Telephone | 810-714-0197
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 4901003596
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License Number State | MI
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