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General NPI Number Information
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NPI Number | 1073974986
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Entity Type | Organization
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Legal Business Name | PINNACLE CASE MANAGEMENT LLC
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Dates
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Enumeration Date | 03/19/2016
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Last Update Date | 03/19/2016
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Provider Practice Location Address
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Address Line | 21 SUSAN CT
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2566
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Country | US
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Telephone | 917-913-3745
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Fax |
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Provider Business Mailing Address
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Address Line | 21 SUSAN CT
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City | STATEN ISLAND
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State | NY
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Zip | 10304-2566
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Country | US
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Telephone | 917-913-3745
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. BARBARA JENNEVE PATTERSON
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Credential | LCSW, CCM
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Telephone | 917-913-3745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 44SL06064900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | R053584-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 4206253
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 4206253
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License Number State | NY
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