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General NPI Number Information
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NPI Number | 1245479476
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Entity Type | Individual
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Provider Name | JOHN STUART PILLEN RPA-C
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Gender | Male
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 159 GLENWOOD DR
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City | SARANAC LAKE
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State | NY
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Zip | 12983-2385
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Country | US
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Telephone | 518-524-8237
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Fax | 518-897-3369
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Provider Business Mailing Address
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Address Line | 159 GLENWOOD DR
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City | SARANAC LAKE
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State | NY
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Zip | 12983-2385
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Country | US
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Telephone | 518-891-3801
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Fax | 518-897-3369
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1085311
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License Number State | TX
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