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General NPI Number Information
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NPI Number | 1225646391
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Entity Type | Organization
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Legal Business Name | PINNACLE INSIGHT LLC
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 12/28/2021
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Provider Practice Location Address
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Address Line | 307 N MAIN ST STE I
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City | GUNNISON
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State | CO
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Zip | 81230-2450
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Country | US
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Telephone | 970-901-0937
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Fax | 970-641-4224
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Provider Business Mailing Address
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Address Line | 307 N MAIN ST STE I
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City | GUNNISON
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State | CO
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Zip | 81230-2450
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Country | US
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Telephone | 970-901-0937
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Fax | 970-641-4224
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Authorized Official
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Title or Position | BEHAVIORAL HEALTH PROVIDER/SOLE PR
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Name | MRS. LORIE FULLER
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Credential | MA, LPC
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Telephone | 970-901-0937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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