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General NPI Number Information
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NPI Number | 1003154600
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Entity Type | Organization
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Legal Business Name | PINNACLE SENIOR CARE OF MISSOURI, LLC
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Dates
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Enumeration Date | 01/17/2013
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 8706 MANCHESTER RD #108
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City | SAINT LOUIS
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State | MO
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Zip | 63144-2733
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Country | US
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Telephone | 314-266-0970
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Fax | 778-320-7988
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Provider Business Mailing Address
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Address Line | 34 35TH ST STE 4-5B516
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City | BROOKLYN
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State | NY
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Zip | 11232-2021
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Country | US
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Telephone | 718-748-5908
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. DAVID ALBERT
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Credential |
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Telephone | 718-748-5908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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