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General NPI Number Information
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NPI Number | 1437235330
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Entity Type | Individual
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Provider Name | MICHELLE LYNN PITMAN M.H.R.
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Gender | Female
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Dates
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Enumeration Date | 10/31/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4009 EUFAULA AVE
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City | MUSKOGEE
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State | OK
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Zip | 74403-1132
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Country | US
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Telephone | 918-682-2841
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Fax | 918-682-3359
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Provider Business Mailing Address
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Address Line | PO BOX 3604
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City | MUSKOGEE
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State | OK
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Zip | 74402-3604
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Country | US
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Telephone | 918-682-2841
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Fax | 918-682-3359
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 818
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License Number State | OK
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