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General NPI Number Information
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NPI Number | 1992733281
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Entity Type | Individual
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Provider Name | I DAVID SCHWARTZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 01/08/2025
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Provider Practice Location Address
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Address Line | 1965 S FREMONT AVE SUITE 260
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City | SPRINGFIELD
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State | MO
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Zip | 65804-2201
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Country | US
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Telephone | 417-820-0280
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Fax | 417-820-0290
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Provider Business Mailing Address
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Address Line | PO BOX 505164
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City | SAINT LOUIS
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State | MO
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Zip | 63150-5164
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Country | US
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Telephone | 417-829-4620
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Fax | 417-829-4316
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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 | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 22115
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | R3M81
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License Number State | MO
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Taxonomy #3
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | 2010-00466
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License Number State | NC
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Taxonomy #4
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Taxonomy Code | 2080P0205X
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Taxonomy Name | Pediatric Endocrinology Physician
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License Number | MD480810
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License Number State | PA
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