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General NPI Number Information
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NPI Number | 1275449423
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Entity Type | Individual
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Provider Name | CHANNING RITTER
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 5721 USA NORTH DRIVE
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City | MOBILE
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State | AL
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Zip | 36688-0001
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Country | US
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Telephone | 334-398-0546
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Fax |
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Provider Business Mailing Address
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Address Line | 107 WILDER AVE
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City | CHICKAMAUGA
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State | GA
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Zip | 30707-1121
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-180601
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License Number State | AL
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