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General NPI Number Information
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NPI Number | 1598376550
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Entity Type | Organization
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Legal Business Name | PINNACLE MOBILE HEALTH, INC.
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1499 S FEDERAL HWY APT S338
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6073
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Country | US
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Telephone | 407-922-7622
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Fax |
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Provider Business Mailing Address
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Address Line | 303 E WOOLBRIGHT RD # 255
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City | BOYNTON BEACH
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State | FL
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Zip | 33435-6010
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Country | US
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Telephone | 407-902-9162
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Fax | 561-962-1567
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Authorized Official
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Title or Position | CEO
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Name | DR. ANDREA GABRIELLE OTERO
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Credential | DPT, PT
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Telephone | 407-902-9161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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