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General NPI Number Information
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NPI Number | 1679027254
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Entity Type | Individual
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Provider Name | JANIE PITTS ARNP
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Gender | Female
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Dates
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Enumeration Date | 08/11/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 2905 HIGHWAY 77
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City | PANAMA CITY
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State | FL
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Zip | 32405-5013
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Country | US
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Telephone | 850-257-5524
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Fax | 850-257-5638
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Provider Business Mailing Address
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Address Line | 2905 HIGHWAY 77
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City | PANAMA CITY
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State | FL
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Zip | 32405-5013
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Country | US
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Telephone | 850-257-5524
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Fax | 850-257-5638
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | ARNP9319112
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License Number State | FL
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