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General NPI Number Information
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NPI Number | 1053408294
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Entity Type | Organization
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Legal Business Name | DONNA PITTER MD
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Dates
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Enumeration Date | 10/09/2006
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Last Update Date | 01/12/2012
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Provider Practice Location Address
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Address Line | 6001 W CENTER ST #200
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City | MILWAUKEE
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State | WI
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Zip | 53210-2154
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Country | US
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Telephone | 414-442-7900
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Fax | 414-442-8156
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Provider Business Mailing Address
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Address Line | 7 CLYDE RD
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City | SOMERSET
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State | NJ
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Zip | 08873-5049
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Country | US
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Telephone | 866-266-6822
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | DONNA E PITTER
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Credential | MD
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Telephone | 414-442-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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