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General NPI Number Information
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NPI Number | 1801870118
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Entity Type | Individual
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Provider Name | KEVIN JAMES RITTER O.D.
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Gender | Male
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Dates
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Enumeration Date | 11/30/2005
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Last Update Date | 04/25/2012
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Provider Practice Location Address
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Address Line | 320 S CHURTON ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2509
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Country | US
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Telephone | 919-732-5000
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Fax | 919-732-6855
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Provider Business Mailing Address
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Address Line | 320 S CHURTON ST
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City | HILLSBOROUGH
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State | NC
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Zip | 27278-2509
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Country | US
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Telephone | 919-732-5000
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2004
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618001487
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2593
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License Number State | TN
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