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General NPI Number Information
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NPI Number | 1912158916
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Entity Type | Organization
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Legal Business Name | GEORGE J SCHILLING, MD, PC
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Dates
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Enumeration Date | 10/08/2008
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Last Update Date | 02/15/2013
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Provider Practice Location Address
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Address Line | 45 1ST ST
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City | ILION
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State | NY
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Zip | 13357-1710
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Country | US
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Telephone | 315-895-3966
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Fax | 315-895-3967
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Provider Business Mailing Address
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Address Line | 45 1ST ST
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City | ILION
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State | NY
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Zip | 13357-1710
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Country | US
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Telephone | 315-895-3966
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Fax | 315-895-3967
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | GEORGE J SCHILLING
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Credential | MD
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Telephone | 315-895-3966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 148456
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License Number State | NY
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