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General NPI Number Information
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NPI Number | 1780827071
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Entity Type | Individual
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Provider Name | MARIE C PITTMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/15/2009
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 120 CAHABA VALLEY PKWY STE 203
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City | PELHAM
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State | AL
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Zip | 35124-1187
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Country | US
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Telephone | 205-985-9828
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Fax | 205-969-0971
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Provider Business Mailing Address
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Address Line | 30 RACQUET CLUB PKWY STE A
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City | PELHAM
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State | AL
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Zip | 35124-6185
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Country | US
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Telephone | 205-971-1620
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Fax | 205-971-1601
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 47912
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 205815
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License Number State | LA
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34254
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License Number State | AL
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