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General NPI Number Information
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NPI Number | 1538051131
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Entity Type | Individual
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Provider Name | DUSTIN FILLINGER WV PHARMACY INTERN
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Gender | Male
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Dates
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Enumeration Date | 07/17/2025
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 22 FLEMING DR
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City | HARTS
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State | WV
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Zip | 25524-9788
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Country | US
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Telephone | 304-855-4130
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Fax |
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Provider Business Mailing Address
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Address Line | 52 TACKETT FILLINGER DR
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City | HARTS
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State | WV
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Zip | 25524-5382
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Country | US
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Telephone | 304-687-8224
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | IN0010414
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License Number State | WV
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