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General NPI Number Information
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NPI Number | 1679312169
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Entity Type | Organization
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Legal Business Name | SCHOENFELD ORTHODONTICS
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Dates
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Enumeration Date | 05/23/2024
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 621 SEBASTIAN BLVD. UNIT D
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City | SEBASTIAN
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State | FL
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Zip | 32958
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Country | US
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Telephone | 772-589-5959
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Fax | 772-589-1450
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Provider Business Mailing Address
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Address Line | 621 SEBASTIAN BLVD. UNIT D
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City | SEBASTIAN
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State | FL
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Zip | 32958
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Country | US
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Telephone | 772-589-5959
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Fax | 772-589-1450
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Authorized Official
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Title or Position | ORTHODONTIST
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Name | DR. JENNIFER L. SCHOENFELD
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Credential | DMD
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Telephone | 772-589-5959
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number |
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License Number State |
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