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General NPI Number Information
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NPI Number | 1598295560
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Entity Type | Organization
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Legal Business Name | HOLLY SCHILLING
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 08/07/2017
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Provider Practice Location Address
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Address Line | 2898 MAHAN DR STE 5
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5462
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Country | US
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Telephone | 850-552-0691
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Fax |
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Provider Business Mailing Address
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Address Line | 3141 N SHANNON LAKES DR
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City | TALLAHASSEE
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State | FL
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Zip | 32309-2363
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | DR. HOLLY SCHILLING
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Credential | PH.D.
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Telephone | 701-330-2856
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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 | PY9053
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License Number State | FL
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