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General NPI Number Information
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NPI Number | 1376939264
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Entity Type | Organization
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Legal Business Name | PINNACLE MEDICAL, INC
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 10229 OKEECHOBEE BLVD C1
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-1403
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Country | US
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Telephone | 561-951-6800
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Fax | 561-795-2224
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Provider Business Mailing Address
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Address Line | 5917 S CONGRESS AVE
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City | LANTANA
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State | FL
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Zip | 33462-1303
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Country | US
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Telephone | 561-966-6322
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Fax | 561-795-2224
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Authorized Official
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Title or Position | PRESIDENT
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Name | NEIL KAUFMAN
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Credential | DC
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Telephone | 561-951-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 4332
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License Number State | FL
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