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General NPI Number Information
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NPI Number | 1386785012
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Entity Type | Organization
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Legal Business Name | WIGGINS DRUGS LIMITED
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 09/06/2024
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Provider Practice Location Address
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Address Line | 1203 ASHLEY CIR
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City | BOWLING GREEN
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State | KY
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Zip | 42104-3383
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Country | US
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Telephone | 270-843-8111
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Fax | 270-843-0801
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Provider Business Mailing Address
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Address Line | PO BOX 145
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City | HARTFORD
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State | KY
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Zip | 42347-0145
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Country | US
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Telephone | 270-298-0259
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Fax | 270-298-7641
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Authorized Official
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Title or Position | MANAGING PARTNER/OWNER/ADMINISTRATO
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Name | STEPHEN WIGGINS
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Credential |
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Telephone | 270-298-0259
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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 | HME00231
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License Number State | KY
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