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General NPI Number Information
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NPI Number | 1437455011
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Entity Type | Organization
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Legal Business Name | PINNACLE PHYSICIANS, LLC
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Dates
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Enumeration Date | 01/31/2011
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 9181 MEDCOM ST
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9168
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Country | US
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Telephone | 843-820-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 108 SPARROW DR
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City | ISLE OF PALMS
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State | SC
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Zip | 29451-2505
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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 | MANAGING MEMBER
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Name | NIHAR PATEL
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Credential | DO
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Telephone | 606-434-9669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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