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NPI 1568679942

NPI 1568679942 : LILLY H. SCHAFFER, M.D. P.A. : PLANO, TX

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General NPI Number Information
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    NPI Number           |    1568679942
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    Entity Type          |    Organization 
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    Legal Business Name  |    LILLY H. SCHAFFER, M.D. P.A. 
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Dates
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    Enumeration Date     |    05/17/2007
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    Last Update Date     |    12/28/2009
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Provider Practice Location Address
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    Address Line         |    3604 PRESTON RD SUITE 200
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-8629
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    Country              |    US
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    Telephone            |    972-867-3399
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    Fax                  |    972-596-4740
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Provider Business Mailing Address
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    Address Line         |    3604 PRESTON RD SUITE 200
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    City                 |    PLANO
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    State                |    TX
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    Zip                  |    75093-8629
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    Country              |    US
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    Telephone            |    972-867-3399
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    Fax                  |    972-596-4740
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. LILLY HELENE SCHAFFER 
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    Credential           |    M.D.
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    Telephone            |    972-867-3399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207N00000X
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    Taxonomy Name        |    Dermatology Physician
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    License Number       |    K6295
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    License Number State |    TX
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