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General NPI Number Information
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NPI Number | 1376682153
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Entity Type | Organization
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Legal Business Name | DR MARC JAY PINSKY PC
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Dates
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Enumeration Date | 02/06/2007
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Last Update Date | 05/18/2009
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Provider Practice Location Address
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Address Line | 3333 S CRATER RD SUITE 3E
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City | PETERSBURG
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State | VA
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Zip | 23805-9276
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Country | US
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Telephone | 804-732-6000
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Fax | 804-861-6558
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Provider Business Mailing Address
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Address Line | PO BOX 1853
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City | PETERSBURG
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State | VA
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Zip | 23805-0853
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Country | US
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Telephone | 804-732-6000
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Fax | 804-861-6558
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARC JAY PINSKY
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Credential | DPM
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Telephone | 804-732-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number |
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License Number State |
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