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General NPI Number Information
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NPI Number | 1568616837
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Entity Type | Organization
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Legal Business Name | BHC PINNACLE POINTE HEALTHCARE
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Dates
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Enumeration Date | 11/12/2008
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Last Update Date | 11/12/2008
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Provider Practice Location Address
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Address Line | 11501 FINANCIAL CENTRE PKWY
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3715
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Country | US
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Telephone | 501-604-4719
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Fax |
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Provider Business Mailing Address
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Address Line | 11501 FINANCIAL CENTRE PKWY
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City | LITTLE ROCK
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State | AR
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Zip | 72211-3715
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Country | US
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Telephone | 501-604-4719
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Fax |
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Authorized Official
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Title or Position | BILLING AGENT
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Name | PAT HOFFMAN
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Credential |
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Telephone | 501-604-4719
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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