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General NPI Number Information
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NPI Number | 1437545316
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Entity Type | Individual
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Provider Name | DONNA RITENOUR
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Gender | Female
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 04/08/2015
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Provider Practice Location Address
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Address Line | 1101 CAMDEN AVE
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City | SALISBURY
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State | MD
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Zip | 21801-6837
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Country | US
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Telephone | 410-543-6348
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Fax | 410-543-6434
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Provider Business Mailing Address
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Address Line | 1101 CAMDEN AVENUE
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City | SALISBURY
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State | MD
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Zip | 21801
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Country | US
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Telephone | 410-543-6348
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Fax | 410-543-6434
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | A0000001
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License Number State | MD
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