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General NPI Number Information
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NPI Number | 1134157407
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Entity Type | Individual
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Provider Name | JULIO C PITA JR. MD
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Gender | Male
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Dates
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Enumeration Date | 06/28/2006
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Last Update Date | 02/14/2024
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Provider Practice Location Address
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Address Line | 6705 SW 57TH AVE STE 714
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-3652
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Country | US
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Telephone | 305-662-1160
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Fax | 305-662-1159
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Provider Business Mailing Address
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Address Line | 6705 RED ROAD SUITE 714
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City | CORAL GABLES
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State | FL
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Zip | 33143-3652
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Country | US
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Telephone | 305-662-1160
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Fax | 305-662-1159
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME21364
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License Number State | FL
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