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NPI 1073781688

NPI 1073781688 : PINNACLE MEDICAL RESOURCES, L.L.C : LITTLE ROCK, AR

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General NPI Number Information
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    NPI Number           |    1073781688
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    Entity Type          |    Organization 
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    Legal Business Name  |    PINNACLE MEDICAL RESOURCES, L.L.C 
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Dates
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    Enumeration Date     |    02/16/2008
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    Last Update Date     |    02/16/2008
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Provider Practice Location Address
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    Address Line         |    415 N MCKINLEY ST STE 240-G 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-3013
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    Country              |    US
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    Telephone            |    501-454-2231
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    Fax                  |    501-421-8674
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Provider Business Mailing Address
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    Address Line         |    415 N MCKINLEY ST STE 240-G 
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    City                 |    LITTLE ROCK
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    State                |    AR
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    Zip                  |    72205-3013
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    Country              |    US
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    Telephone            |    501-454-2231
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    Fax                  |    501-421-8674
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. ANDY H EDWARDS 
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    Credential           |    
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    Telephone            |    662-801-1286
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    AR
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