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General NPI Number Information
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NPI Number | 1871427484
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Entity Type | Organization
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Legal Business Name | PINATA FOODS INC
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Dates
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Enumeration Date | 06/09/2026
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 3590 W 58TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-5663
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Country | US
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Telephone | 216-281-8811
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Fax |
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Provider Business Mailing Address
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Address Line | 3590 W 58TH ST
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City | CLEVELAND
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State | OH
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Zip | 44102-5663
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Country | US
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Telephone | 216-281-8811
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Fax |
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Authorized Official
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Title or Position | CHIEF MANUFACTURING OFFICER
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Name | MR. GRANT LORSUNG
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Credential |
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Telephone | 949-531-1804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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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 | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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