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General NPI Number Information
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NPI Number | 1881889236
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Entity Type | Individual
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Provider Name | MARK ALAN RITCHIE D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/10/2007
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Last Update Date | 09/16/2016
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Provider Practice Location Address
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Address Line | 5583 DAVIS BLVD SUITE 300
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City | NORTH RICHLAND HILLS
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State | TX
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Zip | 76180-6495
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Country | US
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Telephone | 817-821-0137
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Fax | 817-479-9720
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Provider Business Mailing Address
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Address Line | PO BOX 1729
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City | COLLEYVILLE
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State | TX
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Zip | 76034-1729
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Country | US
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Telephone | 817-821-0137
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Fax | 817-479-9720
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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 | 111NR0400X
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Taxonomy Name | Rehabilitation Chiropractor
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License Number | 5998
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License Number State | TX
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