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General NPI Number Information
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NPI Number | 1669555900
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Entity Type | Organization
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Legal Business Name | MOHAWK VALLEY SURGICAL ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 95 GENESEE STREET
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City | UTICA
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-733-2349
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Fax | 315-799-7340
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Provider Business Mailing Address
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Address Line | 95 GENESEE STREET
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City | UTICA
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State | NY
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Zip | 13413
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Country | US
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Telephone | 315-733-2349
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Fax | 315-799-7340
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Authorized Official
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Title or Position | PHYSICAN
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Name | DR. GEORGE J SCHILLING
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Credential | MD
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Telephone | 315-733-2349
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State | NY
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