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General NPI Number Information
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NPI Number | 1184640294
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Entity Type | Organization
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Legal Business Name | RILEY-WHITE, INC.
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 201 PARK ST
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City | BOWLING GREEN
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State | KY
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Zip | 42101-1759
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Country | US
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Telephone | 270-726-7626
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5047
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City | MERIDIAN
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State | MS
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Zip | 39302-5047
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Country | US
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Telephone | 800-447-4095
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Fax | 601-482-7490
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Authorized Official
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Title or Position | PRESIDENT
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Name | DONALD RILEY
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Credential |
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Telephone | 270-726-7626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | P02496
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | P02496
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | P02496
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | P02496
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number | P02496
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | P02496
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number | P02496
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P02496
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License Number State | KY
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