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General NPI Number Information
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NPI Number | 1992887426
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Entity Type | Organization
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Legal Business Name | EDWIN M SCHOTTENSTEIN MD
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Dates
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Enumeration Date | 10/20/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 140 WEST 71STREET
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-874-2300
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Fax | 212-595-5798
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Provider Business Mailing Address
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Address Line | 140 WEST 71STREET
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City | NEW YORK
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State | NY
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Zip | 10023
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Country | US
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Telephone | 212-874-2300
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Fax | 212-595-5798
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Authorized Official
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Title or Position | DOCTOR
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Name | EDWIN M SCHOTTENSTEIN
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Credential | MD
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Telephone | 212-874-2300
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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 | 156808-1
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License Number State | NY
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