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General NPI Number Information
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NPI Number | 1922546530
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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 | 02/02/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 8550 BROADWAY
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City | MERRILLVILLE
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State | IN
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Zip | 46410-7173
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Country | US
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Telephone | 219-795-1890
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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 | 219-756-2100
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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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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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