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General NPI Number Information
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NPI Number | 1346241692
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Entity Type | Organization
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Legal Business Name | GILL-WEST COMPANIES, INC.
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1112 S ROGERS ST
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City | CLARKSVILLE
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State | AR
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Zip | 72830-9157
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Country | US
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Telephone | 479-705-9401
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Fax | 479-705-8801
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Provider Business Mailing Address
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Address Line | PO BOX 1479
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City | CLARKSVILLE
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State | AR
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Zip | 72830-1479
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Country | US
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Telephone | 479-705-9401
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Fax | 479-705-8801
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ROBERTA C GILL
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Credential |
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Telephone | 479-705-9401
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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 | MG00584
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License Number State | AR
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