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General NPI Number Information
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NPI Number | 1104856574
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Entity Type | Individual
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Provider Name | ANTHONY MAURICE PINNER P.A-C
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Gender | Male
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 12488 CENTRAL AVE STE B
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City | CHINO
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State | CA
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Zip | 91710-2625
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Country | US
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Telephone | 909-613-0100
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 35380
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City | LAS VEGAS
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State | NV
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Zip | 89133-5380
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Country | US
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Telephone | 702-579-3203
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | PA16717
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA16717
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License Number State | CA
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