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General NPI Number Information
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NPI Number | 1265632491
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Entity Type | Organization
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Legal Business Name | PINNACLE RADIOLOGY, PROF. LLC
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Dates
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Enumeration Date | 07/25/2007
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Last Update Date | 04/23/2008
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Provider Practice Location Address
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Address Line | 800 S 3RD ST
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City | MONTROSE
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State | CO
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Zip | 81401-4212
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Country | US
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Telephone | 970-240-7314
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Fax | 970-497-8410
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Provider Business Mailing Address
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Address Line | 3841 GRAND MESA DR
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City | MONTROSE
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State | CO
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Zip | 81401-7115
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/ MANAGER
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Name | RICHARD R REMARK
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Credential | MD
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Telephone | 970-240-6792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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