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General NPI Number Information
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NPI Number | 1811458151
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Entity Type | Individual
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Provider Name | MICHAEL PETER PINTAURO
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Gender | Male
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Dates
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Enumeration Date | 03/28/2019
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 6025 LAKE RD STE 200
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City | WOODBURY
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State | MN
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Zip | 55125-1710
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Country | US
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Telephone | 651-999-6800
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Fax | 833-905-0989
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Provider Business Mailing Address
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Address Line | 3001 METRO DR STE 460
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City | BLOOMINGTON
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State | MN
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Zip | 55425-1548
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Country | US
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Telephone | 651-999-7022
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Fax | 651-999-6970
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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 | 208800000X
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Taxonomy Name | Urology Physician
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License Number | 78834
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License Number State | MN
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