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General NPI Number Information
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NPI Number | 1396272159
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Entity Type | Individual
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Provider Name | ANGELICA MARIA PINEIRO CNP
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Gender | Female
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Dates
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Enumeration Date | 05/11/2017
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 1068 LAKE ST S
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City | FOREST LAKE
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State | MN
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Zip | 55025-2639
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Country | US
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Telephone | 407-810-9007
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Fax | 651-982-6035
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Provider Business Mailing Address
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Address Line | 3776 112TH LN NE
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City | BLAINE
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State | MN
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Zip | 55449-6620
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Country | US
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Telephone | 78-109-0074
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1986343
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License Number State | MN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 5170
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License Number State | MN
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