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General NPI Number Information
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NPI Number | 1023174067
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Entity Type | Organization
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Legal Business Name | LYN M PINTELON D.O. INC
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/12/2012
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Provider Practice Location Address
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Address Line | 8990 GARFIELD ST STE.6
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City | RIVERSIDE
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State | CA
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Zip | 92503-3922
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Country | US
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Telephone | 951-358-0784
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Fax | 951-354-7583
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Provider Business Mailing Address
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Address Line | 8990 GARFIELD ST STE..6
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City | RIVERSIDE
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State | CA
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Zip | 92503-3922
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Country | US
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Telephone | 951-358-0784
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Fax | 951-354-7583
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. LYN M PINTELON
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Credential | DO
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Telephone | 951-358-0784
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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 | 20A7308
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License Number State | CA
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