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General NPI Number Information
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NPI Number | 1174861330
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Entity Type | Organization
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Legal Business Name | HOUSTON PITTS LLC
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 03/23/2014
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Provider Practice Location Address
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Address Line | 1780 CROWN POINT WOODS CIRLE
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 407-656-0996
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Fax | 407-656-0996
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Provider Business Mailing Address
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Address Line | 1780 CROWN POINT WOODS CIRLE
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City | OCOEE
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State | FL
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Zip | 34761
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Country | US
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Telephone | 407-656-0996
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Fax | 407-656-0996
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Authorized Official
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Title or Position | NURSE PRACTICIONER
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Name | MR. W. HOUSTON PITTS
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Credential |
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Telephone | 407-656-0996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | ARNP479762
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License Number State | FL
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