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General NPI Number Information
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NPI Number | 1699771576
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Entity Type | Individual
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Provider Name | DAPHNE MARIAN PITTS MD
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 01/11/2023
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Provider Practice Location Address
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Address Line | 14050 NW 14TH ST SUITE 190
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City | SUNRISE
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State | FL
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Zip | 33323-2865
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Country | US
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Telephone | 954-475-1300
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Fax | 954-424-3270
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Provider Business Mailing Address
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Address Line | 13160 SW 13TH ST
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City | DAVIE
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State | FL
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Zip | 33325-5571
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Country | US
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Telephone | 954-612-1952
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Fax |
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD0000028451
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD61344190
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | ME90371
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License Number State | FL
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