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General NPI Number Information
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NPI Number | 1255398541
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Entity Type | Individual
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Provider Name | RAE J SCHILLING PH.D, PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2006
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 914 PORTER AVE SUITE 2 PORTER PLACE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-0814
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Country | US
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Telephone | 715-225-1259
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Fax | 715-514-4008
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Provider Business Mailing Address
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Address Line | 28 NEWTON ST STE. 204
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City | EAU CLAIRE
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State | WI
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Zip | 54701-3812
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Country | US
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Telephone | 715-225-1259
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Fax | 715-514-4008
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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 | 103TF0000X
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Taxonomy Name | Family Psychologist
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License Number | 1783057
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 64124
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License Number State | WI
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