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General NPI Number Information
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NPI Number | 1306154604
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Entity Type | Individual
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Provider Name | REBECCA SCHILLECI P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 09/21/2010
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Provider Practice Location Address
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Address Line | 101 LAGUNA RD SUITE A
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City | FULLERTON
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State | CA
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Zip | 92835-3634
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Country | US
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Telephone | 714-879-0050
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Fax |
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Provider Business Mailing Address
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Address Line | 6832 AUBURN DR
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92647-4067
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Country | US
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Telephone | 714-848-2781
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA19074
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License Number State | CA
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