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General NPI Number Information
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NPI Number | 1982488441
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Entity Type | Organization
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Legal Business Name | PINNACLE HOMECARE REHABILITATION LLC
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Dates
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Enumeration Date | 08/24/2023
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Last Update Date | 10/03/2023
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Provider Practice Location Address
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Address Line | 15 ESSER PL
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1809
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Country | US
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Telephone | 347-694-0127
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Fax |
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Provider Business Mailing Address
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Address Line | 15 ESSER PL
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City | BERGENFIELD
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State | NJ
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Zip | 07621-1809
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Country | US
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Telephone | 347-694-0127
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Fax | 201-338-4133
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Authorized Official
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Title or Position | DPT
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Name | DR. GENELYN MAE PINERA SADOL
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Credential | PT
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Telephone | 347-694-0127
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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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