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General NPI Number Information
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NPI Number | 1134411549
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Entity Type | Organization
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Legal Business Name | PINNACLE HEALTHCARE MEDICAL GROUP-WATSONVILLE, INC.
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Dates
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Enumeration Date | 05/04/2011
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Last Update Date | 12/31/2020
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Provider Practice Location Address
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Address Line | 591 MCCRAY ST STE 101
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City | HOLLISTER
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State | CA
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Zip | 95023
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Country | US
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Telephone | 831-634-4444
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Fax | 831-634-4440
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Provider Business Mailing Address
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Address Line | 4 ROSSI CIR STE 101
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City | SALINAS
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State | CA
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Zip | 93907-2358
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Country | US
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Telephone | 831-757-4444
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Fax | 831-757-4419
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Authorized Official
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Title or Position | C.E.O.
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Name | MR. ERNESTO M. ALVERO
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Credential | P.A.
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Telephone | 831-757-4444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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