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General NPI Number Information
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NPI Number | 1013907237
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Entity Type | Individual
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Provider Name | DASEN R RITCHEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 10/27/2005
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 305 ESTILL ST
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City | BEREA
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State | KY
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Zip | 40403-1742
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Country | US
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Telephone | 859-986-3151
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Fax |
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Provider Business Mailing Address
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Address Line | 320 OLD SOMERSET STANFORD RD
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City | EUBANK
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State | KY
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Zip | 42567-6717
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Country | US
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Telephone | 270-566-0157
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 44171
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License Number State | KY
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