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General NPI Number Information
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NPI Number | 1568788156
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Entity Type | Organization
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Legal Business Name | JOHN J SCHILLING DPM PC
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Dates
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Enumeration Date | 04/08/2010
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 120-20 ROCKAWAY BEACH BLVD
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694
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Country | US
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Telephone | 718-474-6600
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Fax | 718-474-8009
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Provider Business Mailing Address
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Address Line | 120-20 ROCKAWAY BEACH BLVD.
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City | ROCKAWAY PARK
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State | NY
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Zip | 11694
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Country | US
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Telephone | 718-474-6600
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Fax | 718-474-8009
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN JOSEPH SCHILLING
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Credential | DPM
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Telephone | 718-474-6600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N00 4721
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License Number State | NY
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