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General NPI Number Information
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NPI Number | 1265603039
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Entity Type | Organization
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Legal Business Name | PILLER, INC.
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Dates
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Enumeration Date | 03/19/2008
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Last Update Date | 03/19/2008
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Provider Practice Location Address
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Address Line | 818 US 3LW BYPASS
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City | BOWLING GREEN
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State | KY
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Zip | 42101-2314
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Country | US
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Telephone | 270-843-3202
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Fax | 270-782-8181
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Provider Business Mailing Address
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Address Line | 818 US 3LW BYP
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City | BOWLING GREEN
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State | KY
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Zip | 42101
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Country | US
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Telephone | 270-843-3202
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Fax | 270-782-8181
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Authorized Official
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Title or Position | OWNER, PRESIDENT, PHARMACIST
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Name | MR. VERLON L PIERCE
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Credential | R.PH.
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Telephone | 270-843-3202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | P01259
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License Number State | KY
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