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General NPI Number Information
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NPI Number | 1831388164
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Entity Type | Organization
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Legal Business Name | ALAN R SCHNEIDER LAUDERDALE UROLOGY
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Dates
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Enumeration Date | 10/23/2007
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Last Update Date | 04/16/2010
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Provider Practice Location Address
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Address Line | 5301 N DIXIE HWY SUITE 201
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City | OAKLAND PARK
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State | FL
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Zip | 33334-4148
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Country | US
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Telephone | 954-772-1220
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 N DIXIE HWY SUITE 201
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City | OAKLAND PARK
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State | FL
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Zip | 33334-3447
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Country | US
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Telephone | 954-772-1220
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ALAN SCHNEIDER
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Credential | MD
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Telephone | 954-772-1220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number | ME42343
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License Number State | FL
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