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General NPI Number Information
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NPI Number | 1245167071
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Entity Type | Organization
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Legal Business Name | PINNACLE DERMATOLOGY, S.C.
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 2685 JOLLY RD
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City | OKEMOS
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State | MI
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Zip | 48864-3553
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Country | US
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Telephone | 517-993-5900
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Fax |
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Provider Business Mailing Address
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Address Line | 5141 VIRGINIA WAY STE 350
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City | BRENTWOOD
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State | TN
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Zip | 37027-2319
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Country | US
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Telephone | 615-457-8143
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Fax | 615-250-6723
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Authorized Official
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Title or Position | DIRECTOR SUPPLY CHAIN AND PHARMACY
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Name | DANA CONNER
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Credential |
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Telephone | 615-457-8143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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