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General NPI Number Information
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NPI Number | 1720076276
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Entity Type | Individual
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Provider Name | LARRY W. SCHORN M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/10/2005
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Last Update Date | 08/05/2011
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Provider Practice Location Address
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Address Line | 1110 COTTONWOOD LN SUITE 210
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City | IRVING
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State | TX
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Zip | 75038-6117
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Country | US
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Telephone | 972-259-4781
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Fax | 972-251-1820
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Provider Business Mailing Address
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Address Line | 1110 COTTONWOOD LN SUITE 210
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City | IRVING
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State | TX
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Zip | 75038-6117
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Country | US
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Telephone | 972-259-4781
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Fax | 972-251-1820
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | E1122
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License Number State | TX
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