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General NPI Number Information
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NPI Number | 1164568440
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Entity Type | Individual
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Provider Name | RALPH EDWARD RITENOUR JR. D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 562 SHEARER ST SUITE 304
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City | GREENSBURG
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State | PA
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Zip | 15601-2746
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Country | US
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Telephone | 724-832-4888
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Fax | 724-832-4335
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Provider Business Mailing Address
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Address Line | 225 HUMPHREY RD
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City | GREENSBURG
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State | PA
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Zip | 15601-4571
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Country | US
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Telephone | 724-832-4350
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Fax | 724-832-4335
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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 | DS028880L
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License Number State | PA
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