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General NPI Number Information
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NPI Number | 1679018519
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Entity Type | Organization
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Legal Business Name | PINNACLE PHYSICAL THERAPY SERVICES
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Dates
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Enumeration Date | 01/02/2017
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Last Update Date | 12/29/2020
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Provider Practice Location Address
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Address Line | 4025 EASTEX FWY
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City | BEAUMONT
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State | TX
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Zip | 77706-7146
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Country | US
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Telephone | 409-347-8585
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Fax | 409-750-7772
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Provider Business Mailing Address
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Address Line | 224 CREEKSIDE LOOP
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City | SOUR LAKE
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State | TX
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Zip | 77659-9799
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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 | OWNER
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Name | JAMES DANIEL BURKE
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Credential |
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Telephone | 409-347-8585
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 11663639
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License Number State | TX
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