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NPI Code Detail

MEDICARE: MR. DANA JOSEPH PILOLLI

MEDICARE: MR. DANA JOSEPH PILOLLI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225700000XMassage Therapist33-005838OH

General Provider Information

NPI Number : 1598091589
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANA JOSEPH PILOLLI
Provider Business Mailing Address
First Line : 3314 S WOODMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2012
Country : US
Telephone Number : 513-531-0867
Fax Number :
Provider Business Practice Location Address
First Line : 3314 S WOODMONT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45213-2012
Country : US
Telephone Number : 513-531-0867
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2009
Last Update Date : 12/21/2010

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Directions to “ MR. DANA JOSEPH PILOLLI ” Practice Location

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