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General NPI Number Information
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NPI Number | 1134368137
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Entity Type | Individual
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Provider Name | GABRIEL E PITTA MD
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Gender | Male
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Dates
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Enumeration Date | 02/13/2009
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Last Update Date | 12/04/2018
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Provider Practice Location Address
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Address Line | 310 E 14TH ST
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City | NEW YORK
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State | NY
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Zip | 10003-4284
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Country | US
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Telephone | 212-979-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 110 S BEDFORD RD
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City | MOUNT KISCO
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State | NY
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Zip | 10549-3446
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Country | US
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Telephone | 914-241-1050
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Fax | 914-242-1516
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 036127494
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 267465-1
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License Number State | NY
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