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General NPI Number Information
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NPI Number | 1437155041
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Entity Type | Individual
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Provider Name | ROBERT SCOTT PINKE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2005
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 66 SUNSET STRIP STE 107
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1362
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Country | US
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Telephone | 973-584-4451
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Fax | 973-584-2099
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Provider Business Mailing Address
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Address Line | 66 SUNSET STRIP STE 107
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City | SUCCASUNNA
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State | NJ
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Zip | 07876-1362
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Country | US
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Telephone | 973-584-4451
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Fax | 973-584-2099
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | 25MA05160800
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 25MA05160800
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License Number State | NJ
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