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General NPI Number Information
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NPI Number | 1629091335
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Entity Type | Individual
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Provider Name | JORGE PINEIRO-VERGNE MD
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Gender | Male
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 11 NORTH ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-2296
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Country | US
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Telephone | 207-707-3001
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Fax |
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Provider Business Mailing Address
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Address Line | 140 ACADEMY ST
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City | PRESQUE ISLE
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State | ME
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Zip | 04769-3102
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Country | US
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Telephone | 207-764-5437
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Fax | 207-764-4760
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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 | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | MD14897
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License Number State | ME
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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 | MD14897
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License Number State | ME
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