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General NPI Number Information
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NPI Number | 1316161862
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Entity Type | Organization
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Legal Business Name | PILKINGTON SURGICAL ASSOCIATES
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 01/29/2010
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Provider Practice Location Address
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Address Line | 618 CORNWALL RD
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City | LEBANON
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State | PA
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Zip | 17042-7089
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Country | US
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Telephone | 717-273-4646
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Fax | 717-273-6537
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Provider Business Mailing Address
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Address Line | 618 CORNWALL RD
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City | LEBANON
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State | PA
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Zip | 17042-7089
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Country | US
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Telephone | 717-273-4646
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Fax | 717-273-6537
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. BRYAN GEORGE PILKINGTON
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Credential | M.D.
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Telephone | 717-273-4646
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD041220E
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License Number State | PA
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