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General NPI Number Information
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NPI Number | 1316167612
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Entity Type | Individual
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Provider Name | MATTHEW STEPHEN PINSKY DDS, MD
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Gender | Male
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Dates
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Enumeration Date | 04/27/2007
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Last Update Date | 11/26/2013
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Provider Practice Location Address
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Address Line | 3055 PLYMOUTH RD.
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City | ANN ARBOR
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State | MI
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Zip | 48105
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Country | US
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Telephone | 734-761-5885
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Fax | 734-761-8221
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Provider Business Mailing Address
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Address Line | 9416 SOUTH MAIN
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City | PLYMOUTH
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State | MI
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Zip | 48170
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Country | US
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Telephone | 734-455-0710
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Fax | 734-455-4433
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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 | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number | 2901019098
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License Number State | MI
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