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General NPI Number Information
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NPI Number | 1043323561
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Entity Type | Organization
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Legal Business Name | PINNACLE PROSTHETICS, INC.
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 225 E CALHOUN ST
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City | BRUCE
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State | MS
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Zip | 38915-9341
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Country | US
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Telephone | 662-983-2500
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Fax | 662-983-2500
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Provider Business Mailing Address
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Address Line | 225 E CALHOUN ST
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City | BRUCE
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State | MS
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Zip | 38915-9341
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Country | US
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Telephone | 662-983-2500
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Fax | 662-983-2500
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. JIMMY SCOTT SWANSON
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Credential | CP
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Telephone | 662-983-2500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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