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General NPI Number Information
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NPI Number | 1861871204
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Entity Type | Individual
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Provider Name | MATTHEW SCHILLING MD
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Gender | Male
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Dates
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Enumeration Date | 05/19/2015
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Last Update Date | 01/29/2020
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Provider Practice Location Address
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Address Line | 1005 HARBORSIDE DRIVE
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City | GALVESTON
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State | TX
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Zip | 77550-7426
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Country | US
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Telephone | 713-397-7271
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Fax |
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Provider Business Mailing Address
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Address Line | 1911 AMERIGO DR
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City | GRAND PRAIRIE
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State | TX
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Zip | 75051-7426
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Country | US
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Telephone |
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Fax |
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | BP10053374
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License Number State | TX
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