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General NPI Number Information
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NPI Number | 1700485950
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Entity Type | Individual
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Provider Name | LISA A FITE MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 4001 RIDGECREST RD STE B
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City | GREENVILLE
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State | TX
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Zip | 75402-6143
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Country | US
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Telephone | 903-453-2870
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Fax | 903-453-2879
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Provider Business Mailing Address
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Address Line | 501 AIR PARK AVE
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City | GREENVILLE
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State | TX
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Zip | 75402-3000
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Country | US
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Telephone | 903-408-5834
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Fax | 903-408-5693
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 1016507
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 696766
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License Number State | TX
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