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General NPI Number Information
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NPI Number | 1629374004
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Entity Type | Organization
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Legal Business Name | PINNACLE MEDICAL CARE LLC
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Dates
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Enumeration Date | 02/02/2011
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Last Update Date | 02/02/2011
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Provider Practice Location Address
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Address Line | 233 N UNIVERSITY DR
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City | PEMBROKE PINES
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State | FL
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Zip | 33024-6715
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Country | US
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Telephone | 954-983-1119
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Fax | 954-983-1929
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Provider Business Mailing Address
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Address Line | 601 N CONGRESS AVE SUITE 417
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City | DELRAY BEACH
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State | FL
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Zip | 33445-4703
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Country | US
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Telephone | 954-983-1119
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Fax | 954-983-1929
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Authorized Official
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Title or Position | MANAGER
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Name | MR. JEFF STANGER
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Credential |
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Telephone | 954-983-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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