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General NPI Number Information
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NPI Number | 1164690624
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Entity Type | Individual
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Provider Name | JOHN BILELLO RPH
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Gender | Male
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Dates
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Enumeration Date | 02/18/2008
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Last Update Date | 05/03/2021
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Provider Practice Location Address
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Address Line | 615 BROADWAY
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City | KINGSTON
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State | NY
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Zip | 12401-3603
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Country | US
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Telephone | 845-338-0197
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Fax |
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Provider Business Mailing Address
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Address Line | 2124 CREEK HILL RD
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City | LANCASTER
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State | PA
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Zip | 17601-5704
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Country | US
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Telephone | 718-288-9555
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 35746
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License Number State | NY
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