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General NPI Number Information
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NPI Number | 1144314253
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Entity Type | Individual
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Provider Name | DEBRA JANE PITMAN DSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 01/19/2016
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Provider Practice Location Address
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Address Line | 12 RED MAPLE DR N
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City | WANTAGH
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State | NY
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Zip | 11793-1528
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Country | US
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Telephone | 516-799-2408
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Fax | 516-765-3676
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Provider Business Mailing Address
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Address Line | 208 WHITEWOOD DRIVE
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City | MASSAPEQUA PARK
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State | NY
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Zip | 11762-4050
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Country | US
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Telephone | 516-799-2408
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Fax | 516-799-1571
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR023304-1
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License Number State | NY
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