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NPI 1609389170

NPI 1609389170 : PINNACLE HEALTH MEDICAL SERVICES : HARRISBURG, PA

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General NPI Number Information
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    NPI Number           |    1609389170
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    Entity Type          |    Organization 
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    Legal Business Name  |    PINNACLE HEALTH MEDICAL SERVICES 
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Dates
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    Enumeration Date     |    11/07/2017
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    Last Update Date     |    06/13/2022
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Provider Practice Location Address
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    Address Line         |    3907 N FRONT ST 
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    City                 |    HARRISBURG
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    State                |    PA
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    Zip                  |    17110-1536
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    Country              |    US
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    Telephone            |    717-232-4567
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    Fax                  |    717-232-8152
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Provider Business Mailing Address
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    Address Line         |    409 S 2ND ST STE 2F 
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    City                 |    HARRISBURG
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    State                |    PA
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    Zip                  |    17104-1612
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    SENIOR VP
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    Name                 |     CHRISTOPHER P MARKLEY 
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    Credential           |    
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    Telephone            |    717-231-8210
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    208C00000X
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    Taxonomy Name        |    Colon & Rectal Surgery Physician
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    License Number       |    
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    License Number State |    
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