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General NPI Number Information
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NPI Number | 1760691208
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Entity Type | Individual
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Provider Name | ANGELA RUTH PITTS O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/22/2007
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Last Update Date | 09/29/2010
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Provider Practice Location Address
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Address Line | 1328 SOUTHERN AVE SE SUITE 302
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City | WASHINGTON
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State | DC
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Zip | 20032-4689
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Country | US
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Telephone | 202-538-1220
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Fax | 202-574-1674
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Provider Business Mailing Address
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Address Line | 149 CRAIN HWY
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City | UPPER MARLBORO
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State | MD
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Zip | 20774-8804
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Country | US
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Telephone | 813-514-7707
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC2835
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License Number State | FL
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