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NPI 1538149471

NPI 1538149471 : CHRISTOPHER GERARD PINGITORE DPM : YARMOUTH, ME

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General NPI Number Information
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    NPI Number           |    1538149471
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER GERARD PINGITORE DPM
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/18/2006
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    Last Update Date     |    09/18/2024
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Provider Practice Location Address
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    Address Line         |    28 YARMOUTH CROSSING DR 
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    City                 |    YARMOUTH
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    State                |    ME
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    Zip                  |    04096-6741
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    Country              |    US
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    Telephone            |    207-846-0802
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    Fax                  |    207-512-1233
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Provider Business Mailing Address
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    Address Line         |    28 YARMOUTH CROSSING DR 
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    City                 |    YARMOUTH
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    State                |    ME
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    Zip                  |    04096-6741
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    Country              |    US
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    Telephone            |    207-846-0802
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    Fax                  |    207-512-1233
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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        |    213ES0103X
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    Taxonomy Name        |    Foot & Ankle Surgery Podiatrist
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    License Number       |    POD1019
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    213ES0000X
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    Taxonomy Name        |    Sports Medicine Podiatrist
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    License Number       |    POD1019
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    License Number State |    ME
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