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General NPI Number Information
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NPI Number | 1447374640
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Entity Type | Organization
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Legal Business Name | PINNACLE ENTERPRISES PC
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3700 S RAILROAD ST STE A
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City | PHENIX CITY
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State | AL
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Zip | 36867-2994
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Country | US
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Telephone | 334-664-0463
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Fax | 334-664-0466
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Provider Business Mailing Address
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Address Line | 3700 S RAILROAD ST STE A
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City | PHENIX CITY
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State | AL
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Zip | 36867-2994
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Country | US
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Telephone | 334-664-0463
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Fax | 334-664-0466
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RITU CHANDRA
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Credential | M.D.
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Telephone | 334-664-0463
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 26975
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 7157
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License Number State | AL
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 26862
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License Number State | AL
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Taxonomy #5
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 7157
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License Number State | AL
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