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General NPI Number Information
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NPI Number | 1164881314
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Entity Type | Organization
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Legal Business Name | PINNACLE WOMEN'S HEALTH GROUP INC.
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 02/16/2016
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Provider Practice Location Address
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Address Line | 1700 MOUNT VERNON AVE
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City | BAKERSFIELD
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State | CA
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Zip | 93306-4018
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Country | US
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Telephone | 661-599-5315
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Fax |
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Provider Business Mailing Address
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Address Line | 17564 HARVEST GROVE CT
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City | BAKERSFIELD
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State | CA
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Zip | 93314-9521
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Country | US
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Telephone | 661-549-7537
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUAN MANUEL LOPEZ
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Credential | MD
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Telephone | 661-599-5315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A80785
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License Number State | CA
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