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General NPI Number Information
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NPI Number | 1295888469
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Entity Type | Organization
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Legal Business Name | RICHARD L. PILLER DC PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/18/2008
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Provider Practice Location Address
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Address Line | 700 COUNTRYSIDE LN
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City | DIXON
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State | IL
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Zip | 61021-3914
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Country | US
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Telephone | 815-288-2229
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Fax | 815-288-4805
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Provider Business Mailing Address
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Address Line | 700 COUNTRYSIDE LN
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City | DIXON
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State | IL
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Zip | 61021-3914
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Country | US
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Telephone | 815-288-2229
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Fax | 815-288-4805
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. RICHARD LEROY PILLER
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Credential | DC
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Telephone | 815-288-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | IL
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