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General NPI Number Information
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NPI Number | 1760588636
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Entity Type | Individual
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Provider Name | TODD ANDREW SCHNOBRICH OD
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 10/24/2019
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Provider Practice Location Address
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Address Line | 1000 TOWNE CENTER BLVD SUITE # 502
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City | POOLER
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State | GA
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Zip | 31322-4052
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Country | US
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Telephone | 912-748-1272
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 TOWNE CENTER BLVD STE 502
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City | POOLER
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State | GA
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Zip | 31322-4068
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Country | US
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Telephone | 912-826-7462
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Fax |
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT1806
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License Number State | GA
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