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General NPI Number Information
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NPI Number | 1134433055
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Entity Type | Organization
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Legal Business Name | BRADLEY T PINKERNELL MD INC
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 08/03/2010
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Provider Practice Location Address
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Address Line | 5556 CALLE OCHO
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City | CARPINTERIA
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State | CA
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Zip | 93013-2544
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Country | US
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Telephone | 805-684-3128
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Fax | 805-566-1862
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Provider Business Mailing Address
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Address Line | 5556 CALLE OCHO
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City | CARPINTERIA
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State | CA
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Zip | 93013-2544
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Country | US
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Telephone | 805-684-3128
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Fax | 805-566-1862
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Authorized Official
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Title or Position | SOLE OWNER
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Name | DR. BRADLEY T PINKERNELL
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Credential | M.D.
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Telephone | 805-684-3128
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | G3337
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License Number State | CA
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