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General NPI Number Information
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NPI Number | 1811821697
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Entity Type | Organization
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Legal Business Name | PINNACLE DERMATOLOGY, S.C.
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 820 SPRINGER DR
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City | LOMBARD
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State | IL
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Zip | 60148-6413
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Country | US
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Telephone | 815-744-8554
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 734240
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City | CHICAGO
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State | IL
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Zip | 60673-4240
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Country | US
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Telephone | 629-240-8670
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR, CREDENTIALING AND RCM
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Name | JAMIE L HOPKINS
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Credential |
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Telephone | 276-252-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number |
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License Number State |
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