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General NPI Number Information
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NPI Number | 1538686902
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Entity Type | Individual
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Provider Name | ALEXANDRIA TRISTINE PITTS
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Gender | Female
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Dates
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Enumeration Date | 08/27/2017
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3500 CAMP BOWIE BLVD
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City | FORT WORTH
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State | TX
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Zip | 76107
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Country | US
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Telephone | 817-735-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 2910 E 17TH ST UNIT 503
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City | AUSTIN
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State | TX
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Zip | 78702-1463
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Country | US
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Telephone | 925-683-9853
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA19014
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License Number State | TX
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