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General NPI Number Information
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NPI Number | 1699646950
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Entity Type | Individual
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Provider Name | KEITH RITTER
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Gender | Male
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 2461 EISENHOWER SUITE200
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City | ALEXANDRIA
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State | VA
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Zip | 22331
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Country | US
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Telephone | 202-270-1902
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 44612
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City | FORT WASHINGTON
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State | MD
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Zip | 20749-4612
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Country | US
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Telephone | 202-270-1902
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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 | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | MD
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