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General NPI Number Information
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NPI Number | 1669097739
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Entity Type | Individual
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Provider Name | OLIVIA YVONNE PITTMAN MD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2750 SAINT FRANCIS DR
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City | WATERLOO
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State | IA
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Zip | 50702-5644
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Country | US
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Telephone | 319-272-8922
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Fax | 319-272-8929
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Provider Business Mailing Address
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Address Line | 3421 W 9TH ST MEDICAL AFFAIRS - PROVIDER ENROLLMENTS
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City | WATERLOO
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State | IA
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Zip | 50702-5401
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Country | US
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Telephone | 319-272-7304
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Fax | 319-272-7318
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD-51568
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD-51568
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License Number State | IA
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