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General NPI Number Information
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NPI Number | 1295911477
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Entity Type | Organization
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Legal Business Name | WALTER T. TILLMAN INC
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Dates
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Enumeration Date | 01/17/2008
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Last Update Date | 09/19/2023
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Provider Practice Location Address
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Address Line | 2414 LYTLE RD STE 202
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City | BETHEL PARK
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State | PA
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Zip | 15102-2755
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Country | US
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Telephone | 412-283-4961
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Fax | 412-283-4962
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Provider Business Mailing Address
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Address Line | 2414 LYTLE RD SUITE 202 HIRAS PROFESSIONAL BUILDING
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City | BETHEL PARK
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State | PA
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Zip | 15102-2736
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Country | US
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Telephone | 412-283-4961
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Fax | 412-283-4962
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. WALTER T. TILLMAN III
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Credential | B.C.O.
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Telephone | 412-283-4961
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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 |
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License Number State |
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