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General NPI Number Information
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NPI Number | 1982820502
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Entity Type | Individual
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Provider Name | LONN GARY SCHWARTZ O.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 01/21/2011
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Provider Practice Location Address
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Address Line | 5434 CARPINTERIA AVE
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City | CARPINTERIA
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State | CA
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Zip | 93013-1423
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Country | US
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Telephone | 805-684-5476
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Fax | 805-684-5477
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Provider Business Mailing Address
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Address Line | 3751 SHELDON DR
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City | VENTURA
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State | CA
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Zip | 93003-3139
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Country | US
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Telephone | 805-302-9665
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPT12173
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License Number State | CA
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