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General NPI Number Information
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NPI Number | 1841282365
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Entity Type | Individual
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Provider Name | DAVID W RITTER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/19/2005
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Last Update Date | 08/12/2021
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Provider Practice Location Address
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Address Line | 6705 HERITAGE PKWY STE 104
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City | ROCKWALL
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State | TX
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Zip | 75087-8729
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Country | US
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Telephone | 972-412-7700
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Fax | 972-412-7710
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Provider Business Mailing Address
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Address Line | PO BOX 127
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City | ROCKWALL
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State | TX
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Zip | 75087-0127
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Country | US
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Telephone | 972-412-7700
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Fax | 972-412-7710
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | J4481
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License Number State | TX
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