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General NPI Number Information
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NPI Number | 1932399987
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Entity Type | Organization
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Legal Business Name | GEORGE F PINSAK, DMD, MSD, PA
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Dates
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Enumeration Date | 07/26/2007
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Last Update Date | 07/26/2007
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Provider Practice Location Address
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Address Line | 1102 E FRANKLIN ST
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City | MONROE
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State | NC
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Zip | 28112-5028
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Country | US
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Telephone | 704-289-9473
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Fax | 704-283-9185
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Provider Business Mailing Address
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Address Line | 1102 E FRANKLIN ST
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City | MONROE
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State | NC
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Zip | 28112-5028
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Country | US
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Telephone | 704-289-9473
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Fax | 704-283-9185
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Authorized Official
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Title or Position | ADMIN. ASSISTANT
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Name | CAROL H. PINSAK
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Credential |
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Telephone | 704-289-9473
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 3709
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License Number State | NC
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