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NPI 1770518631

NPI 1770518631 : AUGUST MARTIN SCHWARTZ PA : CINCINNATI, OH

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General NPI Number Information
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    NPI Number           |    1770518631
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    Entity Type          |    Individual 
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    Provider Name        |    AUGUST MARTIN SCHWARTZ PA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    55 PROGRESS PL 
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    City                 |    CINCINNATI
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    State                |    OH
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    Zip                  |    45246-1715
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    Country              |    US
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    Telephone            |    513-346-5000
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    Fax                  |    513-671-8348
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Provider Business Mailing Address
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    Address Line         |    3381 FIR TREE LN 
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    City                 |    ERLANGER
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    State                |    KY
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    Zip                  |    41018-1211
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    Country              |    US
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    Telephone            |    859-371-6162
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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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    50000081
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    License Number State |    OH
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