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General NPI Number Information
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NPI Number | 1023043346
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Entity Type | Individual
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Provider Name | DAVID LEE PINKERTON MPT
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Gender | Male
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Dates
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Enumeration Date | 07/12/2006
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 213 E DUPONT HWY UNIT 1
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City | MILLSBORO
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State | DE
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Zip | 19966-1817
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Country | US
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Telephone | 302-297-0700
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Fax | 302-297-0701
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Provider Business Mailing Address
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Address Line | 790 REMINGTON BLVD
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City | BOLINGBROOK
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State | IL
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Zip | 60440-4909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT9256
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | J10002156
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License Number State | DE
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