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NPI 1508912247

NPI 1508912247 : MARTIN A PITTS MD : TORRANCE, CA

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General NPI Number Information
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    NPI Number           |    1508912247
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    Entity Type          |    Individual 
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    Provider Name        |    MARTIN A PITTS MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/26/2007
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    Last Update Date     |    02/16/2024
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Provider Practice Location Address
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    Address Line         |    3440 LOMITA BLVD STE 442 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90505-4882
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    Country              |    US
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    Telephone            |    917-538-0776
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    Fax                  |    310-530-3070
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Provider Business Mailing Address
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    Address Line         |    3440 LOMITA BLVD STE 442 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90505-4882
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    Country              |    US
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    Telephone            |    917-538-0776
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    Fax                  |    310-530-3070
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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        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    MD034399
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    License Number State |    DC
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Taxonomy #2
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    Taxonomy Code        |    207P00000X
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    Taxonomy Name        |    Emergency Medicine Physician
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    License Number       |    C128708
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    License Number State |    CA
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