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General NPI Number Information
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NPI Number | 1841861127
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Entity Type | Organization
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Legal Business Name | 1ST PINNACLE, INC.
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 07/08/2021
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Provider Practice Location Address
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Address Line | 650 WARRENVILLE RD STE 120
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City | LISLE
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State | IL
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Zip | 60532-4315
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Country | US
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Telephone | 331-215-9065
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Fax | 331-215-9077
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Provider Business Mailing Address
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Address Line | 650 WARRENVILLE RD STE 120
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City | LISLE
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State | IL
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Zip | 60532-4315
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Country | US
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Telephone | 331-215-9065
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Fax | 331-215-9077
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Authorized Official
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Title or Position | CEO
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Name | KENYA LATREESE TAYLOR
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Credential |
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Telephone | 331-215-9065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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