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General NPI Number Information
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NPI Number | 1083746564
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Entity Type | Individual
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Provider Name | JOHN DAVID RITTER D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/11/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 104 FORBES ST SUITE 107
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City | ANNAPOLIS
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State | MD
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Zip | 21401-1516
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Country | US
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Telephone | 410-216-9630
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Fax |
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Provider Business Mailing Address
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Address Line | 13 WINDWHISPER LN
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City | ANNAPOLIS
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State | MD
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Zip | 21403-3474
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Country | US
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Telephone | 443-254-0748
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 12535
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License Number State | MD
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