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General NPI Number Information
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NPI Number | 1053098350
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Entity Type | Individual
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Provider Name | KIMBERLY JEAN RITTER DPT
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Gender | Female
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Dates
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Enumeration Date | 06/29/2023
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 8701 OLD TROY PIKE SUITE 220
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City | HUBER HEIGHTS
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State | OH
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Zip | 45424
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Country | US
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Telephone | 937-558-3327
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Fax |
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Provider Business Mailing Address
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Address Line | 820 JUDY AVE
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City | EATON
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State | OH
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Zip | 45320-1247
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Country | US
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Telephone |
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 012456
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License Number State | OH
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