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General NPI Number Information
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NPI Number | 1801951918
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Entity Type | Individual
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Provider Name | GLEN BRIAN SCHNEIDER DPM
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Gender | Male
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 9250 GLADES RD STE 106
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City | BOCA RATON
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State | FL
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Zip | 33434-3958
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Country | US
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Telephone | 561-487-3500
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Fax | 561-487-5994
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Provider Business Mailing Address
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Address Line | 7754 LAKESIDE BLVD APT. 456
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City | BOCA RATON
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State | FL
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Zip | 33434-6405
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Country | US
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Telephone | 561-487-3500
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Fax | 561-487-5994
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | PO2857
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License Number State | FL
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