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General NPI Number Information
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NPI Number | 1922282235
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Entity Type | Organization
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Legal Business Name | STEPHEN R. PITTMAN, DPM PA
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 07/27/2010
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Provider Practice Location Address
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Address Line | 410 CHRISTIANA MEDICAL CTR
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City | NEWARK
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State | DE
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Zip | 19702-1654
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Country | US
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Telephone | 302-368-5000
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Fax | 302-368-9026
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Provider Business Mailing Address
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Address Line | 410 CHRISTIANA MEDICAL CTR
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City | NEWARK
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State | DE
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Zip | 19702-1654
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Country | US
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Telephone | 302-368-5000
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Fax | 302-368-9026
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. STEPHEN R. PITTMAN, DPM PA
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Credential | DPM
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Telephone | 302-368-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number | E1-0000070
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License Number State | DE
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