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General NPI Number Information
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NPI Number | 1962606897
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Entity Type | Organization
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Legal Business Name | MARY SCHWARTZ, DPM. PC.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 04/25/2025
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Provider Practice Location Address
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Address Line | 112 E WASHINGTON ST
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City | PLYMOUTH
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State | IN
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Zip | 46563-1744
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Country | US
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Telephone | 574-316-0306
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Fax | 574-239-0478
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Provider Business Mailing Address
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Address Line | PO BOX 278
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City | PLYMOUTH
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State | IN
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Zip | 46563-0278
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Country | US
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Telephone | 574-316-0306
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Fax | 574-239-0478
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY ELLEN SCHWARTZ
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Credential | DPM
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Telephone | 574-935-4068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 07000938
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | 07000938
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License Number State | IN
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