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General NPI Number Information
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NPI Number | 1861687840
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Entity Type | Individual
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Provider Name | S. CRAIG SCHNEIDER D.D.S., M.A.G.D.
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Gender | Male
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 09/12/2007
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Provider Practice Location Address
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Address Line | 8885 CENTRE PARK DR STE 2E
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City | COLUMBIA
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State | MD
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Zip | 21045-2199
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Country | US
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Telephone | 410-715-8951
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Fax | 410-715-8949
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Provider Business Mailing Address
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Address Line | 3024 SENECA CHIEF TRL
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City | ELLICOTT CITY
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State | MD
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Zip | 21042-1418
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Country | US
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Telephone | 410-591-5217
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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 | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 8483
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License Number State | MD
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