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General NPI Number Information
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NPI Number | 1336791011
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Entity Type | Organization
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Legal Business Name | DOUGLAS SCHILLER PHD PC
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Dates
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Enumeration Date | 07/12/2019
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Last Update Date | 07/12/2019
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Provider Practice Location Address
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Address Line | 4716 ELLSWORTH AVE APT 211
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City | PITTSBURGH
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State | PA
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Zip | 15213-2842
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Country | US
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Telephone | 412-682-5655
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Fax |
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Provider Business Mailing Address
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Address Line | 5734 WOODMONT ST
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City | PITTSBURGH
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State | PA
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Zip | 15217-1208
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Country | US
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Telephone | 412-335-9046
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DOUGLAS P SCHILLER
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Credential | PHD
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Telephone | 412-335-9046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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