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General NPI Number Information
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NPI Number | 1407096860
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Entity Type | Organization
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Legal Business Name | SCHILLER FAMILY ORGANIZATION, LLC
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 25 BAILEY RD
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City | AVON
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State | CT
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Zip | 06001-3671
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Country | US
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Telephone | 860-676-9660
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Fax | 860-676-9159
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Provider Business Mailing Address
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Address Line | 25 BAILEY RD
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City | AVON
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State | CT
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Zip | 06001-3671
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Country | US
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Telephone | 860-676-9660
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Fax | 860-676-9159
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Authorized Official
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Title or Position | OWNER
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Name | DAVID SCHILLER
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Credential |
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Telephone | 860-676-9660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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