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General NPI Number Information
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NPI Number | 1861029456
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Entity Type | Individual
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Provider Name | PASCALE J LOOK PA
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1411 E 31ST ST
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City | OAKLAND
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State | CA
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Zip | 94602-1018
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Country | US
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Telephone | 510-437-4800
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Fax |
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Provider Business Mailing Address
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Address Line | 17629 W MILL CREEK CROSSING DR
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City | GURNEE
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State | IL
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Zip | 60031-1671
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Country | US
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Telephone | 708-308-6174
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA64385
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License Number State | CA
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