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General NPI Number Information
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NPI Number | 1407656465
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Entity Type | Organization
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Legal Business Name | PINNACLE RECOVERY CENTERS
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Dates
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Enumeration Date | 03/18/2025
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Last Update Date | 03/18/2025
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Provider Practice Location Address
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Address Line | 1045 BIG DANGER RD
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City | CLARKSVILLE
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State | AR
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Zip | 72830-9457
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Country | US
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Telephone | 501-732-9505
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Fax |
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Provider Business Mailing Address
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Address Line | 7460 DARBY AVE
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City | LAS VEGAS
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State | NV
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Zip | 89117-3235
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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 | BILLING DIRECTOR
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Name | THI HOANG
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Credential |
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Telephone | 702-205-8232
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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