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General NPI Number Information
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NPI Number | 1700150588
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Entity Type | Organization
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Legal Business Name | ROBERT A. RITUCCI, D.M.D., P.C.
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Dates
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Enumeration Date | 02/27/2012
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Last Update Date | 02/27/2012
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Provider Practice Location Address
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Address Line | 110 LONG POND RD SUITE #122
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City | PLYMOUTH
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State | MA
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Zip | 02360-2642
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Country | US
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Telephone | 508-747-4667
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Fax |
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Provider Business Mailing Address
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Address Line | 110 LONG POND RD SUITE #122
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City | PLYMOUTH
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State | MA
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Zip | 02360-2642
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Country | US
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Telephone | 508-747-4667
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ROBERT RITUCCI
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Credential | D.M.D, C.A.G.S.
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Telephone | 508-747-4667
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | 17591
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License Number State | MA
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