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General NPI Number Information
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NPI Number | 1700870375
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Entity Type | Individual
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Provider Name | RICKY MARC SCHNEIDER MD
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 05/16/2019
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Provider Practice Location Address
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Address Line | 7710 NW 71ST CT STE 303
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City | TAMARAC
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State | FL
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Zip | 33321-2932
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Country | US
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Telephone | 954-303-0225
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Fax | 305-675-2796
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Provider Business Mailing Address
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Address Line | 7710 NW 71ST CT STE 303
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City | TAMARAC
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State | FL
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Zip | 33321-2932
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Country | US
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Telephone | 954-303-0225
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Fax | 305-675-2796
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME0047659
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License Number State | FL
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