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General NPI Number Information
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NPI Number | 1851583504
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Entity Type | Organization
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Legal Business Name | PINNACLEHEALTH
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Dates
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Enumeration Date | 08/16/2007
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Last Update Date | 08/16/2007
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Provider Practice Location Address
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Address Line | 205 S FRONT ST BRADY 3RD FLOOR
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City | HARRISBURG
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State | PA
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Zip | 17104-1619
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Country | US
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Telephone | 717-231-8508
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Fax |
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Provider Business Mailing Address
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Address Line | 304 MARY ST 95
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City | HARRISBURG
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State | PA
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Zip | 17104-3534
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Country | US
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Telephone | 717-213-0244
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Fax |
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Authorized Official
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Title or Position | PROGRAM DIRECTOR INTERNAL MEDICINE
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Name | DR. JOHN GOLDMAN JR.
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Credential | M.D
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Telephone | 717-231-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MT 185306
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License Number State | PA
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