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General NPI Number Information
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NPI Number | 1922397967
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Entity Type | Organization
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Legal Business Name | SCHWENINGER OPHTHALMOLOGY, PC
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 34 HUGHES RD STE B
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City | MADISON
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State | AL
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Zip | 35758-3000
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Country | US
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Telephone | 256-319-0115
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Fax | 256-319-0117
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Provider Business Mailing Address
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Address Line | 34 HUGHES RD STE B
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City | MADISON
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State | AL
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Zip | 35758-3000
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Country | US
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Telephone | 256-319-0115
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Fax | 256-319-0117
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN KEVIN SCHWENINGER
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Credential | DO
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Telephone | 256-319-0115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 12181
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License Number State | AL
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