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General NPI Number Information
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NPI Number | 1891224937
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Entity Type | Individual
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Provider Name | HALEY BILS PILKENTON CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2017
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Last Update Date | 06/29/2021
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Provider Practice Location Address
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Address Line | 405 W GRAND AVE
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City | DAYTON
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State | OH
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Zip | 45405-7538
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Country | US
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Telephone | 419-889-8465
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Fax |
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Provider Business Mailing Address
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Address Line | 9470 COPPERTON DR
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City | CENTERVILLE
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State | OH
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Zip | 45458-3962
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Country | US
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Telephone | 419-889-8465
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 116832
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 116832
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 392218
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License Number State | OH
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