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General NPI Number Information
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NPI Number | 1275122608
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Entity Type | Organization
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Legal Business Name | PINANZU AGENCY ,LLC
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 1007 SCHUMAKER WOODS RD
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City | SALISBURY
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State | MD
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Zip | 21804-8710
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Country | US
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Telephone | 410-546-4258
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 SCHUMAKER WOODS RD
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City | SALISBURY
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State | MD
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Zip | 21804-8710
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. ELLSON PINANZU
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Credential |
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Telephone | 301-768-9435
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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