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General NPI Number Information
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NPI Number | 1033520465
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Entity Type | Organization
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Legal Business Name | PINNACLE LAND SERVICES CORPORATION
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Dates
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Enumeration Date | 05/20/2014
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Last Update Date | 05/20/2014
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Provider Practice Location Address
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Address Line | 8002 CHERRY LAKE RD
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City | GROVELAND
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State | FL
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Zip | 34736-9007
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Country | US
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Telephone | 352-429-9191
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Fax | 352-429-2704
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Provider Business Mailing Address
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Address Line | 8002 CHERRY LAKE RD
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City | GROVELAND
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State | FL
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Zip | 34736-9007
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Country | US
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Telephone | 352-429-9191
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Fax | 352-429-2704
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | MRS. DANA ZAYNE MILLER
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Credential |
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Telephone | 352-429-9191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number | GCG1506681
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License Number State | FL
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