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General NPI Number Information
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NPI Number | 1275796542
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Entity Type | Organization
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Legal Business Name | JULIO C PITA JR MD PA
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Dates
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Enumeration Date | 07/08/2008
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 6705 RED ROAD SUITE 714
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City | CORAL GABLES
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State | FL
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Zip | 33143-3652
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Country | US
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Telephone | 305-662-1160
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Fax |
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Provider Business Mailing Address
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Address Line | 6705 RED ROAD SUITE 714
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City | CORAL GABLES
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State | FL
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Zip | 33143-3652
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Country | US
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Telephone | 305-662-1160
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JULIO C PITA JR.
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Credential | MD
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Telephone | 305-662-1160
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME0021364
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License Number State | FL
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