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General NPI Number Information
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NPI Number | 1265760409
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Entity Type | Organization
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Legal Business Name | PIMENTEL LTD
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Dates
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Enumeration Date | 11/30/2009
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Last Update Date | 11/30/2009
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Provider Practice Location Address
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Address Line | 321 LAKE GILLILAN WAY
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City | ALGONQUIN
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State | IL
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Zip | 60102-4284
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Country | US
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Telephone | 630-788-7576
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Fax |
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Provider Business Mailing Address
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Address Line | 321 LAKE GILLILAN WAY
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City | ALGONQUIN
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State | IL
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Zip | 60102-4284
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Country | US
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Telephone | 630-788-7576
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | DR. ESTER M PIMENTEL
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Credential | M.D.
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Telephone | 630-788-7576
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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