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General NPI Number Information
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NPI Number | 1932647658
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Entity Type | Individual
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Provider Name | STEFAN SCHNEIDER DDS
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Gender | Male
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Dates
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Enumeration Date | 02/01/2017
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Last Update Date | 05/23/2024
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Provider Practice Location Address
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Address Line | 1441 AVOCADO AVE STE 406
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City | NEWPORT BEACH
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State | CA
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Zip | 92660-2401
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Country | US
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Telephone | 949-760-1601
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Fax |
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Provider Business Mailing Address
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Address Line | 24212 LAS NARANJAS DR
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677
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Country | US
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Telephone | 53-903-2688
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 204E00000X
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Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.)
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License Number | DDS103207
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License Number State | CA
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