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General NPI Number Information
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NPI Number | 1205932597
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Entity Type | Organization
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Legal Business Name | TRACI B PITTS PHD INC
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Dates
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Enumeration Date | 09/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 325 FLINT STREET
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City | RENO
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State | NV
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Zip | 89501
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Country | US
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Telephone | 775-352-3898
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Fax | 775-329-9935
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Provider Business Mailing Address
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Address Line | 325 FLINT STREET
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City | RENO
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State | NV
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Zip | 89501
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Country | US
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Telephone | 775-352-3898
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Fax | 775-329-9935
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Authorized Official
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Title or Position | PRESIDENT
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Name | TRACI BICE PITTS
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Credential | PH D
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Telephone | 775-352-3898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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