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General NPI Number Information
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NPI Number | 1821201260
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Entity Type | Organization
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Legal Business Name | R.S.POLINTAN,M.D.,P.C.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 06/02/2008
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Provider Practice Location Address
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Address Line | 807 TURNPIKE AVE SUITE 120
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City | CLEARFIELD
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State | PA
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Zip | 16830-1238
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Country | US
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Telephone | 814-765-8590
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Fax | 814-765-5058
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Provider Business Mailing Address
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Address Line | 807 TURNPIKE AVE SUITE 120
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City | CLEARFIELD
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State | PA
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Zip | 16830-1238
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Country | US
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Telephone | 814-765-8590
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Fax | 814-765-5058
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Authorized Official
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Title or Position | MD
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Name | RODOLFO S POLINTAN
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Credential |
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Telephone | 814-765-8590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | MD022179E
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License Number State | PA
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