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General NPI Number Information
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NPI Number | 1780901124
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Entity Type | Organization
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Legal Business Name | YVONNE PINEIRO NP ADULT HEALTH, P.C.
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Dates
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Enumeration Date | 04/26/2010
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Last Update Date | 05/07/2010
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Provider Practice Location Address
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Address Line | 729 ROANOKE AVE SUITE A
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City | RIVERHEAD
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State | NY
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Zip | 11901-2729
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Country | US
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Telephone | 631-655-3427
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Fax |
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Provider Business Mailing Address
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Address Line | 54 FICUS RD
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City | ROCKY POINT
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State | NY
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Zip | 11778-9382
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Country | US
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Telephone | 631-655-3427
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | YVONNE PINEIRO
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Credential | N.P.
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Telephone | 631-655-3427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1000X
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Taxonomy Name | Migrant Health Clinic/Center
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License Number | F304436-1
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License Number State | NY
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