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General NPI Number Information
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NPI Number | 1225057425
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Entity Type | Organization
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Legal Business Name | TAYLOR REGIONAL EMERGENCY PHYSICIANS, LLC
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 790 341 BLVD EMERGENCY DEPARTMENT
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City | HAWKINSVILLE
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State | GA
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Zip | 31036-1052
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Country | US
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Telephone | 478-783-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 861 SW 78TH AVE SUITE #100B
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City | PLANTATION
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State | FL
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Zip | 33324-3273
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. DAVID SCOTT SCHILLINGER
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Credential | M.D.
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Telephone | 954-693-0000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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