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General NPI Number Information
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NPI Number | 1326305343
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Entity Type | Organization
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Legal Business Name | JOHN W. RITTER MD INC.
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Dates
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Enumeration Date | 04/16/2012
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Last Update Date | 05/15/2012
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Provider Practice Location Address
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Address Line | 640 W FOOTHILL BLVD STE 101
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City | GLENDORA
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State | CA
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Zip | 91741-2456
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Country | US
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Telephone | 626-335-5452
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Fax | 626-335-5462
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Provider Business Mailing Address
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Address Line | 640 W FOOTHILL BLVD SUITE 101
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City | GLENDORA
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State | CA
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Zip | 91741-2456
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Country | US
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Telephone | 626-335-5452
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Fax | 626-335-5462
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN W RITTER
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Credential | M.D.
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Telephone | 626-335-5452
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | A20970
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License Number State | CA
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