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General NPI Number Information
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NPI Number | 1033365184
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Entity Type | Organization
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Legal Business Name | PINNACLE HEALTH SERVICES
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Dates
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Enumeration Date | 08/08/2008
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Last Update Date | 08/08/2008
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Provider Practice Location Address
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Address Line | 5301 39TH ST
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City | GROVES
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State | TX
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Zip | 77619-2911
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Country | US
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Telephone | 409-626-1382
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Fax | 409-962-2451
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Provider Business Mailing Address
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Address Line | 5301 39TH ST
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City | GROVES
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State | TX
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Zip | 77619-2911
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Country | US
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Telephone | 409-626-1382
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Fax | 409-962-2451
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Authorized Official
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Title or Position | PRESIDENT
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Name | KIMBERLY D MOORE
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Credential |
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Telephone | 443-253-8223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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