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General NPI Number Information
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NPI Number | 1942718283
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Entity Type | Organization
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Legal Business Name | PINNACLE DME, INC
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Dates
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Enumeration Date | 01/22/2018
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Last Update Date | 04/28/2018
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Provider Practice Location Address
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Address Line | 14004 ROOSEVELT BLVD STE 605
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City | CLEARWATER
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State | FL
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Zip | 33762-3850
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Country | US
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Telephone | 727-754-9874
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Fax |
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Provider Business Mailing Address
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Address Line | 14004 ROOSEVELT BLVD STE 605
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City | CLEARWATER
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State | FL
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Zip | 33762-3850
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Country | US
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Telephone | 727-754-9874
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHELSEA D DAVIDSON
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Credential |
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Telephone | 727-754-9874
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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