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General NPI Number Information
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NPI Number | 1215234075
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Entity Type | Organization
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Legal Business Name | FITTE ENTERPRISES, INC.
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Dates
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Enumeration Date | 02/14/2011
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Last Update Date | 02/14/2011
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Provider Practice Location Address
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Address Line | 29291 TRIBUNE BLVD UNIT 2-3
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City | PUNTA GORDA
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State | FL
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Zip | 33955-2216
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Country | US
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Telephone | 941-575-2407
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Fax | 941-575-4820
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Provider Business Mailing Address
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Address Line | 29291 TRIBUNE BLVD UNIT 2-3
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City | PUNTA GORDA
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State | FL
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Zip | 33955-2216
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Country | US
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Telephone | 941-575-2407
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Fax | 941-575-4820
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Authorized Official
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Title or Position | OWNER
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Name | JOHN MARK FITTE
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Credential |
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Telephone | 757-343-9649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | PH25093
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License Number State | FL
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