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General NPI Number Information
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NPI Number | 1669689204
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Entity Type | Individual
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Provider Name | DELORES HELEN PITTMAN D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/16/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 400 8TH ST NE
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City | WASHINGTON
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State | DC
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Zip | 20002-5228
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Country | US
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Telephone | 202-544-4433
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Fax | 202-544-3775
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Provider Business Mailing Address
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Address Line | 8117 RIVER PARK RD
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City | BOWIE
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State | MD
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Zip | 20715-3361
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Country | US
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Telephone | 301-352-9086
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Fax | 202-544-3775
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | DEN5153
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10677
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License Number State | MD
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