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General NPI Number Information
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NPI Number | 1649823121
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Entity Type | Organization
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Legal Business Name | PINNACLE MEDICAL EQUIPMENT, LLC
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Dates
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Enumeration Date | 07/23/2019
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Last Update Date | 07/23/2019
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Provider Practice Location Address
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Address Line | 2071 SW 70TH AVE STE G4
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City | DAVIE
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State | FL
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Zip | 33317-7346
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Country | US
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Telephone | 754-422-9745
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Fax |
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Provider Business Mailing Address
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Address Line | 2071 SW 70TH AVE STE G4
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City | DAVIE
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State | FL
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Zip | 33317-7346
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Country | US
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Telephone | 754-422-9745
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Fax |
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Authorized Official
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Title or Position | MEMBER MANAGER
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Name | MANUEL LOPEZ
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Credential |
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Telephone | 954-226-6388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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