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General NPI Number Information
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NPI Number | 1790887776
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Entity Type | Individual
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Provider Name | STEPHEN L. PITCOFF D.P.M.
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Gender | Male
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/09/2010
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Provider Practice Location Address
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Address Line | 8663 HAWKWOOD BAY DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-7822
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Country | US
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Telephone | 561-200-4531
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Fax | 561-200-4531
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Provider Business Mailing Address
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Address Line | 8663 HAWKWOOD BAY DR
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City | BOYNTON BEACH
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State | FL
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Zip | 33473-7822
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Country | US
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Telephone | 561-200-4531
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Fax | 561-200-4531
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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 | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 2258
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 2258
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License Number State | NY
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