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General NPI Number Information
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NPI Number | 1851567846
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Entity Type | Organization
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Legal Business Name | MARK G. SCHWABE MD INC.
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 12/13/2013
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Provider Practice Location Address
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Address Line | 1645 ESPLANADE SUITE 4
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City | CHICO
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State | CA
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Zip | 95926-3367
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Country | US
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Telephone | 530-342-0595
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Fax | 530-342-2649
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Provider Business Mailing Address
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Address Line | 1645 ESPLANADE SUITE 4
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City | CHICO
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State | CA
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Zip | 95926-3367
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Country | US
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Telephone | 530-342-0595
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Fax | 530-342-2649
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARK GERARD SCHWABE
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Credential | MD
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Telephone | 530-342-0595
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | G56695
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License Number State | CA
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