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NPI 1407927189

NPI 1407927189 : RILEY WHITE, INC : BOWLING GREEN, KY

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General NPI Number Information
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    NPI Number           |    1407927189
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    Entity Type          |    Organization 
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    Legal Business Name  |    RILEY WHITE, INC 
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Dates
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    Enumeration Date     |    11/13/2006
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    201 PARK ST 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42101-1759
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    Country              |    US
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    Telephone            |    270-781-3095
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    Fax                  |    270-781-5223
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Provider Business Mailing Address
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    Address Line         |    201 PARK ST 
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    City                 |    BOWLING GREEN
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    State                |    KY
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    Zip                  |    42101-1759
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    Country              |    US
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    Telephone            |    270-781-3095
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    Fax                  |    270-781-3095
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. DONALD GLENN RILEY 
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    Credential           |    RPH
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    Telephone            |    270-781-3095
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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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Taxonomy #2
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    Taxonomy Code        |    332BX2000X
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    Taxonomy Name        |    Oxygen Equipment & Supplies (DME)
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    License Number       |    
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    License Number State |    
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