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General NPI Number Information
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NPI Number | 1700977709
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Entity Type | Individual
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Provider Name | ERIC DAVID PINNAR M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 4253 SALISBURY RD
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6121
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Country | US
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Telephone | 904-808-5658
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Fax | 878-847-2046
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Provider Business Mailing Address
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Address Line | 133 OSPREY COVE LN
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City | PONTE VEDRA BEACH
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State | FL
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Zip | 32082-6213
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Country | US
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Telephone | 904-808-5658
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Fax | 878-847-2046
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101-059299
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME108297
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License Number State | FL
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