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General NPI Number Information
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NPI Number | 1982882510
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Entity Type | Organization
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Legal Business Name | GREGORY A. SHILLING, DPM
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Dates
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Enumeration Date | 02/06/2008
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Last Update Date | 11/12/2009
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Provider Practice Location Address
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Address Line | 1880 RESERVOIR ST SUITE A
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City | HARRISONBURG
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State | VA
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Zip | 22801-8742
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Country | US
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Telephone | 540-434-3668
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Fax | 540-574-0256
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Provider Business Mailing Address
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Address Line | 1880 RESERVOIR ST SUITE A
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City | HARRISONBURG
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State | VA
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Zip | 22801-8742
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Country | US
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Telephone | 540-434-3668
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Fax | 540-574-0256
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | KATHI J SHILLING
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Credential |
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Telephone | 540-434-3008
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 0103000733
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License Number State | VA
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