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General NPI Number Information
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NPI Number | 1598585028
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Entity Type | Individual
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Provider Name | LINDA CAROL PITTMAN RN
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Gender | Female
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Dates
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Enumeration Date | 10/10/2024
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 5-4257 BASTOGNE STREET
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City | FORT LIBERTY
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State | NC
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Zip | 28310-0001
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Country | US
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Telephone | 910-907-9762
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Fax |
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Provider Business Mailing Address
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Address Line | 5-4257 BASTOGNE STREET
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City | FORT LIBERTY
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State | NC
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Zip | 28310-5509
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Country | US
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Telephone | 910-907-9762
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Fax | 910-907-9606
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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 | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number | 225754
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License Number State | NC
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