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General NPI Number Information
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NPI Number | 1609312644
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Entity Type | Organization
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Legal Business Name | PINNACLE PERSONALIZED HEALTHCARE, PLLC
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Dates
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Enumeration Date | 01/15/2017
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Last Update Date | 12/14/2017
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Provider Practice Location Address
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Address Line | 2 MANOR PKWY SUITE 5
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City | SALEM
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State | NH
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Zip | 03079-4871
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Country | US
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Telephone | 603-362-2767
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Fax |
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Provider Business Mailing Address
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Address Line | 2 MANOR PKWY STE 5
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City | SALEM
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State | NH
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Zip | 03079-4871
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Country | US
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Telephone | 603-458-2233
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Fax | 603-458-2528
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Authorized Official
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Title or Position | SOLE MEMBER OWNER
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Name | MICHAEL JONATHAN STEIN
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Credential | MD
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Telephone | 603-458-2233
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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 | 7661
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License Number State | NH
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