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General NPI Number Information
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NPI Number | 1811880651
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Entity Type | Individual
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Provider Name | DR. MARYLYNNE GITAU
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Gender | Female
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 05/30/2025
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Provider Practice Location Address
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Address Line | 2516 JANE ST STE 200&205
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City | PITTSBURGH
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State | PA
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Zip | 15203-2216
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Country | US
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Telephone | 412-564-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 17 BASCOM AVE APT 2
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City | PITTSBURGH
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State | PA
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Zip | 15214-1503
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Country | US
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Telephone | 551-232-9076
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 00000000
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License Number State | PA
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