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General NPI Number Information
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NPI Number | 1730736620
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Entity Type | Individual
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Provider Name | DEBORAH PILLARELLA M.ED
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Gender | Female
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Dates
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Enumeration Date | 08/24/2019
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Last Update Date | 08/24/2019
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Provider Practice Location Address
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Address Line | 801 MACARTHUR BLVD STE 402
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City | MUNSTER
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State | IN
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Zip | 46321-2919
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Country | US
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Telephone | 219-836-4900
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Fax |
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Provider Business Mailing Address
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Address Line | 8409 CASTLE DR
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City | MUNSTER
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State | IN
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Zip | 46321-1933
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Country | US
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Telephone | 312-203-4157
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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