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General NPI Number Information
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NPI Number | 1801858105
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Entity Type | Individual
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Provider Name | AUBREY T SCHOCK MD
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Gender | Male
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Dates
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Enumeration Date | 04/04/2006
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Last Update Date | 10/11/2018
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Provider Practice Location Address
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Address Line | 201 N CLYDE MORRIS BLVD STE 240
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City | DAYTONA BEACH
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State | FL
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Zip | 32114
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Country | US
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Telephone | 386-425-4822
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Fax | 386-225-0140
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Provider Business Mailing Address
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Address Line | 303 N CLYDE MORRIS BLVD
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City | DAYTONA BEACH
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State | FL
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Zip | 32114-2709
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Country | US
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Telephone | 386-226-4590
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Fax | 386-226-3371
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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 | 33907
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License Number State | MN
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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 | ME137329
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License Number State | FL
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