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General NPI Number Information
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NPI Number | 1538457163
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Entity Type | Organization
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Legal Business Name | PINPOINT MD LLC
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Dates
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Enumeration Date | 07/18/2011
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Last Update Date | 02/22/2012
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Provider Practice Location Address
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Address Line | 28100 N ASHLEY CIR # 104R
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-9478
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Country | US
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Telephone | 847-920-7763
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Fax | 312-698-5033
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Provider Business Mailing Address
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Address Line | 28100 N ASHLEY CIR # 104R
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City | LIBERTYVILLE
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State | IL
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Zip | 60048-9478
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Country | US
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Telephone | 847-920-7763
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Fax | 312-698-5033
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Authorized Official
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Title or Position | VP
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Name | MR. KEITH KNOHL
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Credential |
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Telephone | 847-420-7916
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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