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General NPI Number Information
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NPI Number | 1881261691
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Entity Type | Organization
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Legal Business Name | PINECONE PHYSIO PLLC
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 08/17/2021
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Provider Practice Location Address
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Address Line | 180 W HUFFAKER LN STE 305
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City | RENO
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State | NV
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Zip | 89511-2091
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Country | US
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Telephone | 775-277-3320
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Fax |
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Provider Business Mailing Address
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Address Line | 180 W HUFFAKER LN STE 305
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City | RENO
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State | NV
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Zip | 89511-2091
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Country | US
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Telephone | 775-277-3320
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. CORI ANN LENTZ
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Credential | PT, DPT
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Telephone | 775-277-3320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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