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General NPI Number Information
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NPI Number | 1821600198
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Entity Type | Organization
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Legal Business Name | PINNACLE HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/18/2020
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Last Update Date | 08/18/2020
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Provider Practice Location Address
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Address Line | 1551 STURDY RD
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City | VALPARAISO
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State | IN
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Zip | 46383-7883
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Country | US
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Telephone | 219-464-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 CONNECTICUT DR
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City | CROWN POINT
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State | IN
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Zip | 46307-7486
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Country | US
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Telephone | 219-666-3649
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. HAROON RASHID ANSARI
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Credential |
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Telephone | 219-796-4103
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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