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NPI 1760689186

NPI 1760689186 : DANA GILBERT SCHWARZ M.D.,PH.D : VALLEJO, CA

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General NPI Number Information
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    NPI Number           |    1760689186
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    Entity Type          |    Individual 
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    Provider Name        |    DANA GILBERT SCHWARZ M.D.,PH.D
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    06/29/2007
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    Last Update Date     |    12/09/2021
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Provider Practice Location Address
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    Address Line         |    975 SERENO DR 
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    City                 |    VALLEJO
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    State                |    CA
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    Zip                  |    94589-2441
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    Country              |    US
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    Telephone            |    707-651-1030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    584 MORNING GLORY DR 
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    City                 |    BENICIA
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    State                |    CA
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    Zip                  |    94510-3833
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    Country              |    US
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    Telephone            |    707-745-6330
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    A99777
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    License Number State |    CA
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