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General NPI Number Information
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NPI Number | 1588280515
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Entity Type | Organization
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Legal Business Name | PILSUN LLC
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Dates
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Enumeration Date | 06/25/2020
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Last Update Date | 06/25/2020
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Provider Practice Location Address
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Address Line | 206 E 9TH ST STE 1300
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City | AUSTIN
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State | TX
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Zip | 78701-4411
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Country | US
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Telephone | 630-347-2231
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Fax |
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Provider Business Mailing Address
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Address Line | 941 E PORTER AVE
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City | NAPERVILLE
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State | IL
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Zip | 60540-5527
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Country | US
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Telephone | 630-347-2231
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Fax |
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Authorized Official
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Title or Position | OWNER AND EMPLOYEE
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Name | DR. SUSAN H LOMBARDI
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Credential | MD
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Telephone | 630-347-2231
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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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