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General NPI Number Information
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NPI Number | 1821097619
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Entity Type | Individual
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Provider Name | HARRISON T PITCHER MD
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Gender | Male
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Dates
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Enumeration Date | 07/14/2005
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 2901 W KINNICKINNIC RIVER PKWY STE 315
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City | MILWAUKEE
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State | WI
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Zip | 53215
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Country | US
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Telephone | 414-385-4638
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Fax |
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Provider Business Mailing Address
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Address Line | 2901 W KINNICKINNIC RIVER PKWY STE 315
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City | MILWAUKEE
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State | WI
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Zip | 53215-3660
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Country | US
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Telephone | 414-385-4638
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | MD441270
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 10170
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License Number State | ND
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Taxonomy #3
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 69447
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License Number State | WI
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