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General NPI Number Information
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NPI Number | 1689721557
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Entity Type | Individual
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Provider Name | ELIZABETH B PITCHFORD MD
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 11/22/2019
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Provider Practice Location Address
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Address Line | 11588 PULASKI PIKE
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City | TONEY
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State | AL
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Zip | 35773
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Country | US
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Telephone | 256-693-1006
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Fax | 256-428-7561
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Provider Business Mailing Address
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Address Line | 515 SPARKMAN DR NW
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City | HUNTSVILLE
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State | AL
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Zip | 35816-3417
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Country | US
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Telephone | 256-428-7560
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Fax | 256-428-7561
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD.31611
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D0069476
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License Number State | MD
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