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General NPI Number Information
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NPI Number | 1770775751
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Entity Type | Individual
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Provider Name | SARA RITCHEY COT
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Gender | Female
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Dates
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Enumeration Date | 08/14/2007
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Last Update Date | 08/14/2007
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Provider Practice Location Address
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Address Line | 4000 MITCHELLVILLE RD SUITE B-128
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City | BOWIE
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State | MD
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Zip | 20716-3104
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Country | US
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Telephone | 301-464-1192
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Fax | 301-464-2864
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Provider Business Mailing Address
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Address Line | 4000 MITCHELLVILLE RD SUITE B-128
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City | BOWIE
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State | MD
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Zip | 20716-3104
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Country | US
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Telephone | 301-464-1192
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Fax | 301-464-2864
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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 | 156FX1100X
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Taxonomy Name | Ophthalmic Technician/Technologist
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License Number |
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License Number State |
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