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General NPI Number Information
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NPI Number | 1487693404
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Entity Type | Organization
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Legal Business Name | PINNACLE HEALTH EMERGENCY DEPARTMENT SERVICES LLC
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Dates
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Enumeration Date | 06/05/2006
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Last Update Date | 01/17/2019
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Provider Practice Location Address
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Address Line | 111 S FRONT ST
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City | HARRISBURG
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State | PA
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Zip | 17101-2010
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Country | US
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Telephone | 717-782-3380
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Fax |
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Provider Business Mailing Address
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Address Line | 409 SOUTH SECOND STREET SUITE 2F
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City | HARRISBURG
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State | PA
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Zip | 17104-1612
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Country | US
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Telephone | 717-230-3416
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Fax |
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Authorized Official
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Title or Position | SENIOR VP
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Name | CHRISTOPHER P MARKLEY
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Credential |
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Telephone | 717-231-8210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207PT0002X
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Taxonomy Name | Medical Toxicology (Emergency Medicine) 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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