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General NPI Number Information
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NPI Number | 1629185814
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Entity Type | Individual
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Provider Name | ALEX JOSEPH SCHILLINGER DMD
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Gender | Male
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Dates
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Enumeration Date | 08/24/2006
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Last Update Date | 03/04/2020
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Provider Practice Location Address
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Address Line | 717 INSIGHT AVENUE SUITE 200
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City | O'FALLON
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State | IL
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Zip | 62269
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Country | US
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Telephone | 618-277-6550
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Fax | 618-277-6088
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Provider Business Mailing Address
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Address Line | 717 INSIGHT AVENUE SUITE 200
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City | O'FALLON
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State | IL
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Zip | 62269
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Country | US
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Telephone | 618-277-6550
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Fax | 618-277-6088
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 19-025209
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 019025209
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License Number State | IL
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