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General NPI Number Information
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NPI Number | 1124268560
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Entity Type | Organization
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Legal Business Name | LEO P. PAJARILLO, M.D. INC.
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Dates
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Enumeration Date | 02/25/2009
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Last Update Date | 02/25/2009
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Provider Practice Location Address
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Address Line | 701 COLLEGE HL
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City | WILLIAMSON
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State | WV
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Zip | 25661-3300
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Country | US
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Telephone | 304-235-5225
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Fax | 304-235-5282
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Provider Business Mailing Address
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Address Line | 701 COLLEGE HILL P.O. BOX 380
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City | WILLIAMSON
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State | WV
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Zip | 25661-3300
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Country | US
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Telephone | 304-235-5225
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Fax | 304-235-5282
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LEO PANTILLA PAJARILLO
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Credential | M.D.
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Telephone | 304-235-5225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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