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General NPI Number Information
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NPI Number | 1598312662
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Entity Type | Individual
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Provider Name | ALYSSA DANIELLE RITNER PA-C, ATC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2019
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Last Update Date | 08/07/2020
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Provider Practice Location Address
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Address Line | 1760 OLD MEADOW RD STE 220
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City | MC LEAN
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State | VA
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Zip | 22102-4330
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Country | US
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Telephone | 703-783-3529
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 OLD MEADOW RD STE 220
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City | MC LEAN
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State | VA
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Zip | 22102-4330
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Country | US
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Telephone | 703-783-3529
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | C0007254
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA031620
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110006772
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License Number State | VA
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