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General NPI Number Information
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NPI Number | 1760433205
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Entity Type | Individual
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Provider Name | TAMARA L SHILLING DO
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Gender | Female
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 250 PLEASANT ST.
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City | CONCORD
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State | NH
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Zip | 03301-2598
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Country | US
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Telephone | 603-228-7200
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Fax | 603-227-7562
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Provider Business Mailing Address
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Address Line | 250 PLEASANT ST
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City | CONCORD
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State | NH
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Zip | 03301-2598
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Country | US
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Telephone | 603-228-7200
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Fax | 603-227-7562
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0102203059
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP00002069
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 16922
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License Number State | NH
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