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General NPI Number Information
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NPI Number | 1518215490
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Entity Type | Individual
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Provider Name | MARIELLE PITTS NP
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Gender | Female
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Dates
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Enumeration Date | 08/27/2012
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 50 W MAIN ST
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City | HOPKINTON
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State | MA
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Zip | 01748-1672
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Country | US
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Telephone | 508-439-0312
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Fax | 508-779-6702
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Provider Business Mailing Address
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Address Line | 40 SEDUM RD
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City | UXBRIDGE
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State | MA
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Zip | 01569-2358
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Country | US
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Telephone | 508-439-0312
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Fax |
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN00771
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License Number State | RI
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | RN265510
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License Number State | MA
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