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General NPI Number Information
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NPI Number | 1679299267
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Entity Type | Organization
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Legal Business Name | PINNACLE TRANSPORT LLC, DBA PINNACLE CARE SERVICES
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Dates
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Enumeration Date | 10/14/2022
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Last Update Date | 01/23/2023
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Provider Practice Location Address
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Address Line | 5551 DANUBE ST
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City | DENVER
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State | CO
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Zip | 80249-8745
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Country | US
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Telephone | 720-215-6701
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Fax | 720-328-8010
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Provider Business Mailing Address
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Address Line | 5551 DANUBE ST
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City | DENVER
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State | CO
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Zip | 80249-8745
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Country | US
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Telephone | 720-215-6701
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Fax | 720-328-8010
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Authorized Official
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Title or Position | OWNER
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Name | CHARLES MAOBUGHICHI THOMAS
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Credential | MD
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Telephone | 720-215-6701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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