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General NPI Number Information
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NPI Number | 1578008629
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Entity Type | Organization
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Legal Business Name | PINNACLE MEN'S HEALTH LLC
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Dates
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Enumeration Date | 12/28/2016
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Last Update Date | 12/28/2016
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Provider Practice Location Address
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Address Line | 6750 W THUNDERBIRD RD B104
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 623-374-4935
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Fax | 623-388-4601
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Provider Business Mailing Address
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Address Line | 6750 W THUNDERBIRD RD SUITE # B104
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City | PEORIA
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State | AZ
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Zip | 85381
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Country | US
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Telephone | 623-374-4935
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Fax | 623-388-4601
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. CYNDI TEETER
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Credential |
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Telephone | 602-978-5000
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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 | AZ
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