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General NPI Number Information
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NPI Number | 1255503322
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Entity Type | Organization
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Legal Business Name | SUZANNE MARTEL PITTS, M.D., P.C.
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Dates
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Enumeration Date | 03/29/2008
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Last Update Date | 02/09/2009
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Provider Practice Location Address
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Address Line | 35 HORNER ST SUITE 110
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City | WARRENTON
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State | VA
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Zip | 20186-3433
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Country | US
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Telephone | 540-347-4902
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Fax | 540-347-4915
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Provider Business Mailing Address
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Address Line | 35 HORNER ST SUITE 110
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City | WARRENTON
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State | VA
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Zip | 20186-3433
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Country | US
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Telephone | 540-347-4902
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUZANNE MARTEL PITTS
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Credential | M.D.
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Telephone | 540-347-4902
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 01010 51145
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License Number State | VA
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