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General NPI Number Information
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NPI Number | 1790152387
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Entity Type | Individual
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Provider Name | PAMELA RITZLER
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Gender | Female
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 11/06/2018
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Provider Practice Location Address
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Address Line | 111 DEAN DR STE 1N
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City | TENAFLY
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State | NJ
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Zip | 07670-2762
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Country | US
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Telephone | 201-503-7173
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Fax |
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Provider Business Mailing Address
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Address Line | 779 PROSPECT ST
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City | GLEN ROCK
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State | NJ
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Zip | 07452-3108
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Country | US
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Telephone | 201-675-2041
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 25630
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 40QA01826100
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License Number State | NJ
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