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General NPI Number Information
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NPI Number | 1629541685
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Entity Type | Organization
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Legal Business Name | PINNACLE PRIMARY CARE INC.
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Dates
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Enumeration Date | 01/02/2019
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Last Update Date | 02/05/2019
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Provider Practice Location Address
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Address Line | 1520 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2949
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Country | US
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Telephone | 661-321-9138
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Fax | 661-321-9186
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Provider Business Mailing Address
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Address Line | 1520 BRUNDAGE LN
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City | BAKERSFIELD
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State | CA
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Zip | 93304-2949
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Country | US
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Telephone | 661-321-9138
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Fax | 661-321-9186
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Authorized Official
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Title or Position | OWNER
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Name | MR. EURAL E. GORDON
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Credential | N.P. PAC
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Telephone | 661-321-9138
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0000X
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Taxonomy Name | Adolescent Medicine (Family Medicine) 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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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