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General NPI Number Information
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NPI Number | 1679159362
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Entity Type | Individual
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Provider Name | ALEXANDRA RUTH RITENOUR PHARMD, CSP
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Gender | Female
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Dates
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Enumeration Date | 03/22/2021
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 2401 S 31ST ST # MSAG303H
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City | TEMPLE
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State | TX
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Zip | 76508-0001
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Country | US
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Telephone | 254-724-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 5101 NORTH O'CONNOR BLVD
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City | IRVING
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State | TX
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Zip | 75039-0001
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Country | US
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Telephone | 469-282-1774
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Fax | 469-282-6422
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 68776
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License Number State | TX
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