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General NPI Number Information
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NPI Number | 1326047341
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Entity Type | Individual
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Provider Name | PHILIP W PITTS M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 08/09/2024
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Provider Practice Location Address
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Address Line | 2000 S 42ND ST STE 100
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City | ROGERS
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State | AR
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Zip | 72758-2001
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Country | US
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Telephone | 479-273-9173
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Fax | 479-464-9989
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Provider Business Mailing Address
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Address Line | 2000 S 42ND ST STE 100
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City | ROGERS
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State | AR
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Zip | 72758-2001
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Country | US
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Telephone | 479-273-9173
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Fax | 479-464-9989
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | E-17303
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License Number State | AR
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