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NPI 1740795061

NPI 1740795061 : PINNACLE PAIN, LLC : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1740795061
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    Entity Type          |    Organization 
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    Legal Business Name  |    PINNACLE PAIN, LLC 
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Dates
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    Enumeration Date     |    12/08/2017
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    Last Update Date     |    12/18/2025
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Provider Practice Location Address
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    Address Line         |    2701 HOLME AVE STE 205 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19152-2029
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    Country              |    US
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    Telephone            |    215-338-1811
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    Fax                  |    215-338-3606
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Provider Business Mailing Address
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    Address Line         |    PO BOX 45748 
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    City                 |    BALTIMORE
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    State                |    MD
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    Zip                  |    21297-5748
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    Country              |    US
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    Telephone            |    215-338-1811
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    Fax                  |    215-338-3606
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Authorized Official
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    Title or Position    |    OWNER/MD
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    Name                 |     ERIC  RATNER 
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    Credential           |    MD
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    Telephone            |    215-338-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207L00000X
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    Taxonomy Name        |    Anesthesiology 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        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) 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        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208VP0000X
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    Taxonomy Name        |    Pain Medicine Physician
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    License Number       |    
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    License Number State |    
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