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General NPI Number Information
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NPI Number | 1225564495
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Entity Type | Individual
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Provider Name | MICHAEL JAMES PIENTA MD
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Gender | Male
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Dates
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Enumeration Date | 05/10/2017
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 600 GRESHAM DR STE 8600
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-6005
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Fax | 757-388-6006
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Provider Business Mailing Address
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Address Line | 600 GRESHAM DR STE 8600
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City | NORFOLK
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State | VA
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Zip | 23507-1904
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Country | US
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Telephone | 757-388-6005
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Fax | 757-388-6006
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4301112089
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 0101285834
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License Number State | VA
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