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General NPI Number Information
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NPI Number | 1215996020
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Entity Type | Individual
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Provider Name | MARCY T. PITKIN
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Gender | Female
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Dates
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Enumeration Date | 03/21/2006
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 909 SE CENTRAL PKWY SUITE 100
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City | STUART
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State | FL
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Zip | 34994-3904
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Country | US
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Telephone | 772-286-8093
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Fax | 772-286-8093
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Provider Business Mailing Address
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Address Line | 1480 SE 13TH ST
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City | STUART
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State | FL
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Zip | 34996-5812
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Country | US
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Telephone | 772-286-8093
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Fax | 772-286-8093
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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 | SW2430
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License Number State | FL
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