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General NPI Number Information
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NPI Number | 1053310672
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Entity Type | Individual
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Provider Name | JOSE L PINO-Y-TORRES M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/15/2005
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 113 POCONO DR
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City | MILFORD
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State | PA
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Zip | 18337-9466
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Country | US
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Telephone | 570-504-7210
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Fax | 570-955-2213
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Provider Business Mailing Address
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Address Line | 580 W COLLEGE AVE
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City | MARQUETTE
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State | MI
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Zip | 49855-2736
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Country | US
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Telephone | 906-225-7790
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Fax | 906-225-7798
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD426545
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number | MD426454E
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 2085R0203X
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Taxonomy Name | Therapeutic Radiology Physician
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License Number | MD 426454 E
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License Number State | PA
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