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General NPI Number Information
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NPI Number | 1326114729
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Entity Type | Organization
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Legal Business Name | HOLLY K RITCH MD PA
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Dates
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Enumeration Date | 11/28/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 NORTH EUSTIS STREET LAKE COUNTY PREFERRED OBGYN
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City | EUSTIS
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State | FL
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Zip | 32726
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Country | US
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Telephone | 352-483-2229
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Fax | 352-483-4449
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Provider Business Mailing Address
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Address Line | PO BOX 1230 LAKE COUNTY PREFERRED OBGYN
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City | TAVARES
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State | FL
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Zip | 32778
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Country | US
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Telephone | 352-483-2229
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Fax | 352-483-4449
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Authorized Official
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Title or Position | ADMIN
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Name | MR. RANDALL RITCH
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Credential |
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Telephone | 352-483-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME83681
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License Number State | FL
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