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General NPI Number Information
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NPI Number | 1194604405
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Entity Type | Individual
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Provider Name | KRISTEN PITTMAN
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Gender | Female
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1200 S AIR DEPOT BLVD
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City | MIDWEST CITY
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State | OK
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Zip | 73110-4866
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Country | US
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Telephone | 405-931-9811
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Fax |
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Provider Business Mailing Address
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Address Line | 7724 1ST TER
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City | LAKE WORTH
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State | FL
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Zip | 33463-8104
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Country | US
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Telephone | 561-635-7368
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Fax |
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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 | 21966-P
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License Number State | OK
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