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General NPI Number Information
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NPI Number | 1205500980
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Entity Type | Individual
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Provider Name | CONRAD DAVID SCHILLINGER-ROBINET PTA
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Gender | Male
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 530 E LOS ANGELES AVE # 115-238
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City | MOORPARK
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State | CA
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Zip | 93021-2081
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Country | US
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Telephone | 323-448-3353
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Fax |
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Provider Business Mailing Address
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Address Line | 530 E LOS ANGELES AVE # 115-238
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City | MOORPARK
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State | CA
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Zip | 93021-2081
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Country | US
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Telephone | 708-912-2404
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | 50989
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License Number State | CA
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