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General NPI Number Information
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NPI Number | 1447826383
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Entity Type | Organization
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Legal Business Name | PINNACLE HEALTHCARE PLLC
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Dates
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Enumeration Date | 06/01/2021
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 1616 N CONWAY AVE
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City | MISSION
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State | TX
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Zip | 78572-4004
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Country | US
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Telephone | 956-580-9966
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Fax | 956-580-1964
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Provider Business Mailing Address
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Address Line | 10306 N 27TH LN
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City | MCALLEN
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State | TX
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Zip | 78504-2188
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Country | US
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Telephone | 956-566-3079
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. MOSES CAMPOS
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Credential | PA-C
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Telephone | 956-566-3079
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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 |
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License Number State |
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