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General NPI Number Information
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NPI Number | 1326289539
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Entity Type | Organization
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Legal Business Name | M J RITTER, P.C
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Dates
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Enumeration Date | 03/18/2009
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1239 OLD BERWICK RD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-3023
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Country | US
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Telephone | 570-784-3932
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Fax | 570-387-7968
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Provider Business Mailing Address
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Address Line | 1239 OLD BERWICK RD
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City | BLOOMSBURG
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State | PA
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Zip | 17815-3023
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Country | US
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Telephone | 570-784-3932
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Fax | 570-387-7968
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Authorized Official
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Title or Position | CHIROPRACTOR
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Name | DR. MATTHEW J RITTER
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Credential | CHIROPRACTOR
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Telephone | 570-784-3932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC007930L
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License Number State | PA
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