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General NPI Number Information
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NPI Number | 1568143113
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Entity Type | Individual
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Provider Name | ELIZABETH PITTS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 12/17/2024
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Provider Practice Location Address
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Address Line | 2602 TROTWOOD AVE STE 100
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City | COLUMBIA
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State | TN
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Zip | 38401-4942
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Country | US
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Telephone | 153-315-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 1805 WILLIAMSON CT
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City | BRENTWOOD
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State | TN
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Zip | 37027-8164
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Country | US
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Telephone | 615-331-5536
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | APN0000033996
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License Number State | TN
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