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General NPI Number Information
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NPI Number | 1053127282
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Entity Type | Individual
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Provider Name | EMMA ROSE PITTERS RN, BSN, FNP, MSN
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Gender | Female
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Dates
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Enumeration Date | 12/03/2024
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Last Update Date | 10/25/2025
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Provider Practice Location Address
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Address Line | 6629 S VIRGINIA ST STE C
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City | RENO
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State | NV
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Zip | 89511-1161
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Country | US
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Telephone | 775-787-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 786 LINCOLN RD
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City | GROSSE POINTE
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State | MI
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Zip | 48230-1206
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Country | US
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Telephone | 313-919-3143
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Fax |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704374650
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 1204107
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 884264
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License Number State | NV
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