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General NPI Number Information
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NPI Number | 1922248343
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Entity Type | Organization
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Legal Business Name | DR HOWARD S SCHNEIDER DDS PA
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 1871 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8930
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Country | US
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Telephone | 904-721-2565
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Fax | 904-727-7192
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Provider Business Mailing Address
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Address Line | 1871 UNIVERSITY BLVD S
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8930
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Country | US
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Telephone | 904-721-2565
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Fax | 904-727-7192
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Authorized Official
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Title or Position | PRESIDENT/ OWNER
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Name | DR. HOWARD SHELDON SCHNEIDER
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Credential | DDS , PA
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Telephone | 904-721-2565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | DN00003412
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License Number State | FL
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