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General NPI Number Information
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NPI Number | 1003135823
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Entity Type | Individual
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Provider Name | CLAYTON LEE SCHILTZ D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/18/2010
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Last Update Date | 01/18/2018
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Provider Practice Location Address
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Address Line | 7888 WREN AVE STE A110
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City | GILROY
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State | CA
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Zip | 95020-4963
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Country | US
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Telephone | 408-713-2600
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Fax | 408-713-2601
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Provider Business Mailing Address
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Address Line | 7888 WREN AVE STE A110
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City | GILROY
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State | CA
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Zip | 95020-4963
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Country | US
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Telephone | 408-713-2600
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Fax | 408-713-2601
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 20A13538
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License Number State | CA
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