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General NPI Number Information
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NPI Number | 1922170380
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Entity Type | Organization
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Legal Business Name | MATTHEW G. SCHNEIDER DDS INC.
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5150 BLAZER PKWY
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City | DUBLIN
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State | OH
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Zip | 43017-1339
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Country | US
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Telephone | 614-889-2211
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Fax |
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Provider Business Mailing Address
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Address Line | 5150 BLAZER PKWY
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City | DUBLIN
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State | OH
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Zip | 43017-1339
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MATTHEW GREGORY SCHNEIDER
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Credential | DDS
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Telephone | 614-889-2211
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12761
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 20864
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License Number State | OH
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