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General NPI Number Information
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NPI Number | 1114549821
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Entity Type | Organization
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Legal Business Name | PITCHER MEDICAL BILLING LLC
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Dates
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Enumeration Date | 05/15/2020
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Last Update Date | 05/15/2020
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Provider Practice Location Address
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Address Line | 104 WINDWALKER WAY
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City | NOVATO
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State | CA
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Zip | 94945-3439
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Country | US
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Telephone | 415-305-5796
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Fax |
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Provider Business Mailing Address
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Address Line | 926A DIABLO AVE # 443
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City | NOVATO
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State | CA
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Zip | 94947-4025
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Country | US
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Telephone | 415-305-5796
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. SHANA PITCHER
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Credential | SLP
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Telephone | 415-305-5796
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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