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General NPI Number Information
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NPI Number | 1396091070
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Entity Type | Organization
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Legal Business Name | RITECARE MEDICAL CENTER
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Dates
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Enumeration Date | 07/31/2012
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 1250 S MIAMI AVE
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City | MIAMI
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State | FL
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Zip | 33130-4100
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Country | US
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Telephone | 305-571-6250
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Fax | 305-571-6251
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Provider Business Mailing Address
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Address Line | 1250 S MIAMI AVE
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City | MIAMI
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State | FL
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Zip | 33130-4100
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Country | US
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Telephone | 415-200-2099
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Fax | 888-972-1912
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARLEY PAGE
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Credential |
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Telephone | 417-861-9739
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | ME81042
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License Number State | FL
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