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General NPI Number Information
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NPI Number | 1629052097
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Entity Type | Individual
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Provider Name | CLAIRE DEAN SCHILL DR.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 07/03/2018
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Provider Practice Location Address
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Address Line | 480 STATE ROAD 436
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City | CASSELBERRY
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State | FL
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Zip | 32707-4911
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Country | US
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Telephone | 407-788-7100
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Fax | 407-339-3526
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Provider Business Mailing Address
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Address Line | 480 S.R. 436
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City | CASSELBERRY
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State | FL
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Zip | 32707
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Country | US
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Telephone | 407-788-7100
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Fax | 407-339-3526
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | CH 4640
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111NS0005X
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Taxonomy Name | Sports Physician Chiropractor
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License Number | CH 4640
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH0004640
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License Number State | FL
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