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General NPI Number Information
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NPI Number | 1558906503
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Entity Type | Organization
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Legal Business Name | PINNACLE CARE LLC
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Dates
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Enumeration Date | 11/14/2019
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Last Update Date | 04/27/2020
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Provider Practice Location Address
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Address Line | 19 10TH ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1906
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Country | US
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Telephone | 917-618-2799
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Fax |
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Provider Business Mailing Address
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Address Line | 19 10TH ST
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City | LAKEWOOD
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State | NJ
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Zip | 08701-1906
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Country | US
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Telephone | 917-618-2799
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHELLE COFSKY
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Credential | OTR-/L
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Telephone | 917-618-2799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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