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NPI 1205023454

NPI 1205023454 : PINNACLE LIVING CENTER : HOUSTON, TX

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General NPI Number Information
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    NPI Number           |    1205023454
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    Entity Type          |    Organization 
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    Legal Business Name  |    PINNACLE LIVING CENTER 
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Dates
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    Enumeration Date     |    10/02/2007
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    Last Update Date     |    10/02/2007
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Provider Practice Location Address
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    Address Line         |    3127 COLLINGSWORTH ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77026-4643
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    Country              |    US
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    Telephone            |    713-988-6358
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    Fax                  |    713-988-6215
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Provider Business Mailing Address
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    Address Line         |    3127 COLLINSWORTH ST 
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    City                 |    HOUSTON
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    State                |    TX
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    Zip                  |    77026
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    Country              |    US
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    Telephone            |    713-988-6358
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    Fax                  |    713-988-6215
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MRS. ZENOBIA  ANEKWE 
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    Credential           |    RN
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    Telephone            |    713-988-6358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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