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General NPI Number Information
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NPI Number | 1376072967
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Entity Type | Individual
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Provider Name | CARLY RITTER PT, DPT, OCS
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Gender | Female
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Dates
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Enumeration Date | 06/07/2017
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 550 SILVER BLUFF RD STE 600-700
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City | AIKEN
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State | SC
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Zip | 29803-6021
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Country | US
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Telephone | 803-220-3655
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Fax |
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Provider Business Mailing Address
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Address Line | 811 SPECKLED TEAL PATH
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City | AIKEN
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State | SC
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Zip | 29803-6357
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Country | US
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Telephone | 765-398-4030
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05012453A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 12584
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License Number State | SC
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