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General NPI Number Information
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NPI Number | 1750788576
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Entity Type | Organization
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Legal Business Name | PINNACLE PEAK, INC.
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 04/01/2015
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Provider Practice Location Address
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Address Line | 230 W MORRISON ST SUITE B
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City | YUMA
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State | AZ
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Zip | 85364-8528
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Country | US
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Telephone | 928-782-3365
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Fax |
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Provider Business Mailing Address
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Address Line | 230 W MORRISON ST SUITE B
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City | YUMA
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State | AZ
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Zip | 85364-8528
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Country | US
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Telephone | 928-782-3365
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN PANALIGAN
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Credential |
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Telephone | 928-782-3365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA 5479
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License Number State | AZ
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