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General NPI Number Information
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NPI Number | 1801196209
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Entity Type | Organization
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Legal Business Name | WHITE PILLAR CARE INC
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Dates
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Enumeration Date | 11/01/2010
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Last Update Date | 11/01/2010
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Provider Practice Location Address
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Address Line | 838 E HIGH ST STE 273
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City | LEXINGTON
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State | KY
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Zip | 40502-2107
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Country | US
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Telephone | 859-539-6489
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Fax |
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Provider Business Mailing Address
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Address Line | 838 E HIGH ST STE 273
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City | LEXINGTON
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State | KY
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Zip | 40502-2107
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Country | US
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Telephone | 859-539-6489
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DOUGLAS BOYCE
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Credential |
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Telephone | 859-539-6489
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 39187
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License Number State | KY
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