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General NPI Number Information
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NPI Number | 1427601327
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Entity Type | Organization
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Legal Business Name | PINNACLE ASSISTED LIVING
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Dates
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Enumeration Date | 07/19/2019
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Last Update Date | 07/19/2019
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Provider Practice Location Address
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Address Line | 10520 WATERVILLE LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-3754
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Country | US
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Telephone | 865-444-1451
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Fax | 865-337-5454
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Provider Business Mailing Address
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Address Line | 10520 WATERVILLE LN
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City | KNOXVILLE
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State | TN
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Zip | 37932-3754
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Country | US
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Telephone | 865-444-1451
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Fax | 865-337-5454
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Authorized Official
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Title or Position | CLINICAL OPERATIONS SPECIALIST
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Name | FAY JAGO
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Credential | LPN
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Telephone | 865-250-4078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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