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General NPI Number Information
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NPI Number | 1841084977
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Entity Type | Individual
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Provider Name | ALLYSON ELIZABETH RITCHEY MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 04/04/2025
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Last Update Date | 04/04/2025
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Provider Practice Location Address
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Address Line | 16228 STATE ROAD 54
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City | ODESSA
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State | FL
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Zip | 33556-3729
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Country | US
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Telephone | 813-475-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 5236 LEGENDARY LOOP APT 421
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-8667
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Country | US
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Telephone | 330-417-6896
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | AL7263
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License Number State | FL
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