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General NPI Number Information
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NPI Number | 1376520593
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Entity Type | Individual
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Provider Name | ERIC RAY RITTENHOUSE MD
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Gender | Male
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Dates
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Enumeration Date | 12/29/2005
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 626 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-1446
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Country | US
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Telephone | 570-253-3005
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Fax | 570-253-0181
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Provider Business Mailing Address
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Address Line | 601 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-1445
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Country | US
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Telephone | 570-253-8226
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Fax | 570-253-8228
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD050588L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 050588L
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License Number State | PA
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