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General NPI Number Information
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NPI Number | 1013991249
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Entity Type | Individual
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Provider Name | HOUSTON HARRIS PITTMAN M.D.
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Gender | Male
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 01/24/2013
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Provider Practice Location Address
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Address Line | 1107 MEMORIAL DR SUITE 100
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City | DALTON
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State | GA
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Zip | 30720-8668
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Country | US
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Telephone | 706-529-9630
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Fax | 706-529-9631
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Provider Business Mailing Address
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Address Line | 1107 MEMORIAL DRIVE SUITE 100
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City | DALTON
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State | GA
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Zip | 30720
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Country | US
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Telephone | 706-529-9630
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Fax | 706-529-9631
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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 | 207T00000X
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Taxonomy Name | Neurological Surgery Physician
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License Number | 018065
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License Number State | GA
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