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General NPI Number Information
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NPI Number | 1639507189
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Entity Type | Organization
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Legal Business Name | PINNACLE HAND SURGERY GROUP, PA
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Dates
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Enumeration Date | 10/21/2013
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 1355 W GRAY ST STE B
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City | HOUSTON
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State | TX
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Zip | 77019-4019
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Country | US
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Telephone | 713-522-5111
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Fax | 713-522-6111
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Provider Business Mailing Address
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Address Line | 5315 CYPRESS CREEK PKWY STE B #334
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City | HOUSTON
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State | TX
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Zip | 77069-4410
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Country | US
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Telephone | 713-522-5111
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Fax | 713-522-6111
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Authorized Official
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Title or Position | PHYSICIAN/ SURGEON
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Name | RANDOLPH A LOPEZ
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Credential | MD
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Telephone | 832-407-0866
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number | M0474
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License Number State | TX
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