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General NPI Number Information
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NPI Number | 1396416186
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Entity Type | Organization
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Legal Business Name | PINNACLE DERMATOLOGY, SC
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Dates
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Enumeration Date | 09/22/2021
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Last Update Date | 10/08/2021
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Provider Practice Location Address
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Address Line | 701 E ROOSEVELT BLVD
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City | MONROE
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State | NC
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Zip | 28112-5170
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Country | US
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Telephone | 704-289-9448
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Fax |
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Provider Business Mailing Address
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Address Line | 5141 VIRGINIA WAY STE 350
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City | BRENTWOOD
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State | TN
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Zip | 37027-2319
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PAULA KAYE LAPINSKI
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Credential |
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Telephone | 815-744-8554
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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