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General NPI Number Information
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NPI Number | 1689382194
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Entity Type | Individual
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Provider Name | NICHOLAS REED RITCHIE DDS
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Gender | Male
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Dates
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Enumeration Date | 11/14/2022
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 5555 N LAMAR BLVD STE H125
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City | AUSTIN
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State | TX
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Zip | 78751-1096
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Country | US
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Telephone | 866-988-4504
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Fax |
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Provider Business Mailing Address
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Address Line | 1219 S LAMAR BLVD APT 319
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City | AUSTIN
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State | TX
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Zip | 78704-2371
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Country | US
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Telephone | 318-210-8148
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 41269
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License Number State | TX
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