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General NPI Number Information
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NPI Number | 1659136810
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Entity Type | Organization
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Legal Business Name | MARTIN A PITTS MD INC
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Dates
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Enumeration Date | 02/16/2024
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Last Update Date | 02/16/2024
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Provider Practice Location Address
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Address Line | 3440 LOMITA BLVD STE 442
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City | TORRANCE
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State | CA
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Zip | 90505-4882
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Country | US
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Telephone | 917-538-0776
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Fax | 310-530-3070
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Provider Business Mailing Address
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Address Line | 3440 LOMITA BLVD STE 442
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City | TORRANCE
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State | CA
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Zip | 90505-4882
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Country | US
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Telephone | 917-538-0776
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Fax | 310-530-3070
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Authorized Official
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Title or Position | CEO
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Name | DR. MARTIN A PITTS
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Credential | MD
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Telephone | 917-538-0776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State |
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