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General NPI Number Information
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NPI Number | 1548552110
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Entity Type | Individual
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Provider Name | ISADORA RITTER O.D.
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Gender | Female
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Dates
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Enumeration Date | 05/13/2011
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Last Update Date | 03/12/2017
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Provider Practice Location Address
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Address Line | 33 W 42ND ST
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City | NEW YORK
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State | NY
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Zip | 10036-8005
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Country | US
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Telephone | 212-938-5946
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Fax |
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Provider Business Mailing Address
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Address Line | 225 E 95TH ST APT 16E
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City | NEW YORK
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State | NY
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Zip | 10128-4005
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Country | US
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Telephone | 516-201-0333
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 390200000X
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License Number State | NY
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