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General NPI Number Information
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NPI Number | 1194165019
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Entity Type | Organization
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Legal Business Name | REBECCA D PITNER DMD PC
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Dates
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Enumeration Date | 06/25/2013
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Last Update Date | 06/25/2013
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Provider Practice Location Address
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Address Line | 895 MEMORIAL DR
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City | BESSEMER
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State | AL
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Zip | 35022-6033
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Country | US
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Telephone | 205-426-2644
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Fax | 205-424-8778
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Provider Business Mailing Address
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Address Line | 895 MEMORIAL DR
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City | BESSEMER
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State | AL
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Zip | 35022-6033
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Country | US
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Telephone | 205-426-2644
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Fax | 205-424-8778
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JORDAN PITNER
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Credential |
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Telephone | 205-426-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 5626
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License Number State | AL
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