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General NPI Number Information
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NPI Number | 1366440034
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Entity Type | Individual
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Provider Name | SUSAN RITROSKY HILL M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 211 S VOLUSIA AVE
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City | ORANGE CITY
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State | FL
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Zip | 32763-5839
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Country | US
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Telephone | 386-775-7500
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Fax | 386-775-1904
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Provider Business Mailing Address
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Address Line | 211 S VOLUSIA AVE
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City | ORANGE CITY
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State | FL
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Zip | 32763-5839
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Country | US
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Telephone | 386-775-7500
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Fax | 386-775-1904
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME66532
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License Number State | FL
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