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General NPI Number Information
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NPI Number | 1679782080
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Entity Type | Organization
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Legal Business Name | L M SCHECTER DMD PC INC
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4739 CORNELL RD
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City | CINCINNATI
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State | OH
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Zip | 45241-2432
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Country | US
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Telephone | 513-489-6808
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Fax | 513-489-6857
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Provider Business Mailing Address
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Address Line | 4739 CORNELL RD
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City | CINCINNATI
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State | OH
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Zip | 45241-2432
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Country | US
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Telephone | 513-489-6808
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Fax | 513-489-6857
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | NICOLE R STUART
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Credential |
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Telephone | 513-242-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 30016290
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License Number State | OH
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