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General NPI Number Information
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NPI Number | 1790554921
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Entity Type | Individual
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Provider Name | MICHAEL DAVID RITZ
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Gender | Male
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Dates
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Enumeration Date | 12/28/2023
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Last Update Date | 12/28/2023
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Provider Practice Location Address
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Address Line | 2526 MONROEVILLE BLVD STE 102
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City | MONROEVILLE
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State | PA
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Zip | 15146-2372
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Country | US
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Telephone | 412-702-9458
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Fax |
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Provider Business Mailing Address
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Address Line | 199 SUNSET DR
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City | PENN HILLS
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State | PA
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Zip | 15235-4845
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Country | US
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Telephone | 412-287-5715
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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 | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 146L00000X
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Taxonomy Name | Paramedic
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License Number | 156588
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License Number State | PA
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