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General NPI Number Information
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NPI Number | 1730583428
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Entity Type | Organization
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Legal Business Name | SCHWEIGER DERMATOLOGY
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Dates
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Enumeration Date | 10/09/2014
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Last Update Date | 10/09/2014
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Provider Practice Location Address
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Address Line | 35 E 35TH ST SUITE 208
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City | NEW YORK
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State | NY
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Zip | 10016-3823
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Country | US
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Telephone | 212-684-5964
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Fax |
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Provider Business Mailing Address
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Address Line | 30 W 60TH ST APT 3U
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City | NEW YORK
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State | NY
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Zip | 10023-7902
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Country | US
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Telephone | 240-520-4018
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | BRITNI DANIELLE DAUGHTRIDGE
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Credential |
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Telephone | 240-520-4018
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 018038
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License Number State | NY
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