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General NPI Number Information
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NPI Number | 1720414899
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Entity Type | Organization
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Legal Business Name | PILCHER INC
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Dates
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Enumeration Date | 09/20/2013
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Last Update Date | 09/20/2013
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Provider Practice Location Address
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Address Line | 711 N EDMONDS AVE
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City | MC CRORY
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State | AR
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Zip | 72101-8278
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Country | US
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Telephone | 870-731-2361
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Fax | 870-731-0075
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Provider Business Mailing Address
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Address Line | PO BOX 436 711 NO. EDMONDS ST
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City | MC CRORY
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State | AR
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Zip | 72101-0436
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Country | US
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Telephone | 870-731-2361
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Fax | 870-731-0075
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Authorized Official
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Title or Position | OWNER
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Name | DR. REBECCA PILCHER
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Credential | PD
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Telephone | 870-731-2361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | AR09397
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License Number State | AR
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