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General NPI Number Information
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NPI Number | 1659256048
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Entity Type | Individual
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Provider Name | MS. TARA ELIZABETH RITZMA
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Gender | Female
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Dates
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Enumeration Date | 08/06/2025
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 910 E HOUSTON ST
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City | TYLER
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State | TX
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Zip | 75702-8369
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Country | US
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Telephone | 903-606-7300
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Fax |
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Provider Business Mailing Address
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Address Line | 17505 E LAKE ESTATES DR
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City | ARP
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State | TX
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Zip | 75750-9805
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Country | US
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Telephone | 903-570-9162
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 1224100
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License Number State | TX
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