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General NPI Number Information
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NPI Number | 1427337278
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Entity Type | Individual
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Provider Name | JONATHAN RITTENHOUSE PSY.D.
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Gender | Male
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Dates
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Enumeration Date | 08/10/2011
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 312 NEFF AVE
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City | HARRISONBURG
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State | VA
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Zip | 22801-3429
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Country | US
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Telephone | 404-332-8585
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Fax |
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Provider Business Mailing Address
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Address Line | 8281 WATER ST
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City | PORT REPUBLIC
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State | VA
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Zip | 24471-2406
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Country | US
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Telephone | 540-746-6325
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810004351
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License Number State | VA
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