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General NPI Number Information
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NPI Number | 1578803862
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Entity Type | Individual
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Provider Name | ANDREA RAY PITTS M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/22/2013
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Last Update Date | 05/26/2021
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Provider Practice Location Address
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Address Line | 100 HEALTHY WAY STE 1200
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City | ANDERSON
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State | SC
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Zip | 29621-7916
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Country | US
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Telephone | 864-260-9910
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Fax |
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Provider Business Mailing Address
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Address Line | 100 HEALTHY WAY STE 1200
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City | ANDERSON
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State | SC
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Zip | 29621-7916
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Country | US
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Telephone | 864-716-6140
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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 | LL35386
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35386
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 207QS0010X
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Taxonomy Name | Sports Medicine (Family Medicine) Physician
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License Number | 35386
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License Number State | SC
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