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General NPI Number Information
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NPI Number | 1689012643
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Entity Type | Individual
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Provider Name | JONATHAN JAMES PINETTE D.M.D
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Gender | Male
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Dates
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Enumeration Date | 06/11/2013
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Last Update Date | 01/06/2021
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Provider Practice Location Address
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Address Line | 1 CHASE ST
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City | KINGSTON
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State | NH
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Zip | 03848-3005
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Country | US
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Telephone | 207-862-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 1 CHASE ST
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City | KINGSTON
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State | NH
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Zip | 03848-3005
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Country | US
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Telephone | 603-642-3276
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 04539
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License Number State | NH
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