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General NPI Number Information
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NPI Number | 1255395794
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Entity Type | Individual
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Provider Name | AMAR ANTONY GODWIN PINTO MD
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Gender | Male
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Dates
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Enumeration Date | 04/13/2006
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 550 LANDMARK AVE
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City | BLOOMINGTON
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State | IN
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Zip | 47403
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Country | US
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Telephone | 812-333-5973
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Fax | 812-330-3681
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Provider Business Mailing Address
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Address Line | 550 S LANDMARK AVE
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City | BLOOMINGTON
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State | IN
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Zip | 47403-3239
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Country | US
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Telephone | 812-333-5973
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Fax | 812-330-3681
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 131144
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License Number State | MT
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01054106
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 01054106A
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License Number State | IN
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