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General NPI Number Information
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NPI Number | 1235381989
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Entity Type | Individual
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Provider Name | MARTIN C. WITT PTA
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Gender | Male
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Dates
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Enumeration Date | 10/14/2008
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 700 BOWER HILL RD
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City | PITTSBURGH
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State | PA
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Zip | 15243-2040
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Country | US
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Telephone | 412-341-1030
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Fax |
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Provider Business Mailing Address
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Address Line | 2343 BIRTLEY AVE
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City | PITTSBURGH
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State | PA
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Zip | 15226-1537
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Country | US
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Telephone | 412-571-0642
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE002960L
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License Number State | PA
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