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General NPI Number Information
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NPI Number | 1457462731
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Entity Type | Organization
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Legal Business Name | PINNACLE BRAIN AND SPINE CENTER
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 09/09/2013
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Provider Practice Location Address
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Address Line | 6701 AIRPORT BLVD STE D146
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City | MOBILE
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State | AL
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Zip | 36608-6701
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Country | US
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Telephone | 251-633-5155
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Fax | 251-633-5125
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Provider Business Mailing Address
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Address Line | 6701 AIRPORT BLVD STE D146
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City | MOBILE
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State | AL
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Zip | 36608-6701
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Country | US
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Telephone | 251-633-5155
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Fax | 251-633-5125
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. JUAN FELIX RONDEROS
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Credential | MD
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Telephone | 251-633-5155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 00012906
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License Number State | AL
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