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General NPI Number Information
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NPI Number | 1841515723
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Entity Type | Organization
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Legal Business Name | ICS MEDICAL, P.C.
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Dates
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Enumeration Date | 04/02/2010
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Last Update Date | 04/02/2010
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Provider Practice Location Address
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Address Line | 14 TOKAY LN
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City | MONSEY
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State | NY
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Zip | 10952-1701
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Country | US
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Telephone | 718-779-6800
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Fax |
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Provider Business Mailing Address
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Address Line | 14 TOKAY LN
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City | MONSEY
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State | NY
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Zip | 10952-1701
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Country | US
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Telephone | 718-779-6800
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | DR. ANDREW DAVID SCHILLER
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Credential | M.D.
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Telephone | 203-216-0640
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081P2900X
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Taxonomy Name | Pain Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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