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General NPI Number Information
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NPI Number | 1124961024
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Entity Type | Organization
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Legal Business Name | PINNACLE NEUROLOGICAL INSTITUTE LLC
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Dates
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Enumeration Date | 04/14/2026
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Last Update Date | 04/14/2026
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Provider Practice Location Address
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Address Line | 5825 DELMONICO DR STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2243
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Country | US
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Telephone | 719-715-4882
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Fax | 303-381-1566
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Provider Business Mailing Address
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Address Line | 5825 DELMONICO DR STE 102
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2243
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Country | US
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Telephone | 719-715-4882
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Fax | 303-381-1566
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Authorized Official
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Title or Position | PRESIDENT PHYSICIAN
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Name | RAVI SHAH
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Credential |
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Telephone | 719-715-4882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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