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General NPI Number Information
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NPI Number | 1215943188
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Entity Type | Individual
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Provider Name | THERESA PINSON N.P.
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Gender | Female
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 02/18/2013
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Provider Practice Location Address
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Address Line | 65 BROADWAY STE 1804
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City | NEW YORK
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State | NY
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Zip | 10006-2560
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Country | US
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Telephone | 212-430-6677
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Fax | 212-430-6678
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Provider Business Mailing Address
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Address Line | 5 EAGLE CHASE
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City | WOODBURY
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State | NY
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Zip | 11797-2900
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Country | US
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Telephone | 212-430-6677
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Fax | 212-430-6678
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 334906
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License Number State | NY
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