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General NPI Number Information
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NPI Number | 1972660074
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Entity Type | Individual
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Provider Name | ROBERTO PINEYRO M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 9980 CENTRAL PARK BLVD N SUITE #104
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City | BOCA RATON
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State | FL
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Zip | 33428-1762
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Country | US
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Telephone | 561-482-7468
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Fax | 561-483-7111
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Provider Business Mailing Address
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Address Line | 9980 CENTRAL PARK BLVD N SUITE #104
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City | BOCA RATON
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State | FL
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Zip | 33428-1762
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Country | US
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Telephone | 561-482-7468
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Fax | 561-483-7111
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | ME33367
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License Number State | FL
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