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General NPI Number Information
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NPI Number | 1073507638
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Entity Type | Individual
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Provider Name | ANDREW B RITTENBERRY M.D.
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Gender | Male
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Dates
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Enumeration Date | 09/09/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2205 MCCALLIE AVE STE 102
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City | CHATTANOOGA
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State | TN
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Zip | 37404-3323
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Country | US
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Telephone | 423-624-6993
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Fax | 423-622-7366
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Provider Business Mailing Address
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Address Line | 979 E 3RD ST STE 300
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City | CHATTANOOGA
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State | TN
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Zip | 37403-2136
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Country | US
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Telephone | 423-267-0466
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Fax | 423-778-8212
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD6732
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License Number State | TN
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