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NPI 1336608421

NPI 1336608421 : ALEX RITTER : MARION, OH

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General NPI Number Information
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    NPI Number           |    1336608421
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    Entity Type          |    Individual 
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    Provider Name        |    ALEX RITTER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/18/2019
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    Last Update Date     |    11/24/2025
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Provider Practice Location Address
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    Address Line         |    1000 MCKINLEY PARK DR 
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    City                 |    MARION
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    State                |    OH
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    Zip                  |    43302-6399
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    Country              |    US
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    Telephone            |    740-375-2275
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7527 
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    City                 |    DUBLIN
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    State                |    OH
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    Zip                  |    43017-0727
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    Country              |    US
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    Telephone            |    614-788-6010
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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        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    35.154707
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    2085R0001X
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    Taxonomy Name        |    Radiation Oncology Physician
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    License Number       |    33857
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    License Number State |    WV
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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