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General NPI Number Information
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NPI Number | 1316051030
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Entity Type | Individual
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Provider Name | DEBORAH LYNN ZITO PA-C,IBCLC
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Gender | Female
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Dates
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Enumeration Date | 08/18/2006
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 2487 DEMERE RD STE 500
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City | ST SIMONS ISLAND
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State | GA
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Zip | 31522-5644
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Country | US
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Telephone | 912-268-4488
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Fax | 888-503-7119
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Provider Business Mailing Address
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Address Line | 192 DUNBARTON CT
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City | ST SIMONS ISLAND
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State | GA
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Zip | 31522-1013
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Country | US
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Telephone | 912-638-0782
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Fax | 912-554-0344
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 002234
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number | 10875901
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 002234
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License Number State | GA
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