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General NPI Number Information
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NPI Number | 1578065595
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Entity Type | Organization
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Legal Business Name | PINNACLE AMBULANCE LLC
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Dates
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Enumeration Date | 03/06/2018
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Last Update Date | 10/16/2019
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Provider Practice Location Address
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Address Line | 2839 MOUNT ZION RD
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City | JONESBORO
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State | GA
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Zip | 30236-6822
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Country | US
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Telephone | 678-371-8818
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Fax | 678-364-7373
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Provider Business Mailing Address
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Address Line | 312 CROSSTOWN DR STE 257
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City | PEACHTREE CITY
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State | GA
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Zip | 30269-2948
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Country | US
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Telephone | 678-371-8818
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Fax | 678-364-7374
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. NABIH SABBAGH
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Credential |
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Telephone | 678-371-8818
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | AMB2017024
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License Number State | GA
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