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General NPI Number Information
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NPI Number | 1497938070
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Entity Type | Individual
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Provider Name | VINCENT PINEDO M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 10/10/2024
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Provider Practice Location Address
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Address Line | 192 ROUTE 117 BY PASS RD
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City | BEDFORD HILLS
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State | NY
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Zip | 10507-2146
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Country | US
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Telephone | 914-232-3135
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Fax |
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Provider Business Mailing Address
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Address Line | 54 INDEPENDENCE WAY
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City | JERSEY CITY
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State | NJ
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Zip | 07305-5460
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Country | US
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Telephone | 917-703-7304
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C55381
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 232329
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License Number State | NY
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