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General NPI Number Information
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NPI Number | 1013955632
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Entity Type | Organization
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Legal Business Name | ERNESTO PINZON PA
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | 2950 ALT US HWY 27 S SUITE A
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City | SEBRING
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State | FL
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Zip | 33870-4973
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Country | US
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Telephone | 863-471-1300
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Fax | 863-471-1315
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Provider Business Mailing Address
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Address Line | 2950 ALT US HWY 27 S SUITE A
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City | SEBRING
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State | FL
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Zip | 33870-4973
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Country | US
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Telephone | 863-471-1300
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Fax | 863-471-1315
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Authorized Official
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Title or Position | OWNER
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Name | ERNESTO PINZON
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Credential | MD
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Telephone | 863-471-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal 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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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