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General NPI Number Information
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NPI Number | 1912885179
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Entity Type | Individual
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Provider Name | DANELLE RITCH FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/25/2025
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Last Update Date | 12/01/2025
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Provider Practice Location Address
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Address Line | 3269 N STOCKTON HILL RD
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City | KINGMAN
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State | AZ
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Zip | 86409-3619
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Country | US
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Telephone | 928-263-3145
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Fax |
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Provider Business Mailing Address
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Address Line | 939 HANCOCK RD STE 3
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City | BULLHEAD CITY
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State | AZ
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Zip | 86442-5163
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 328405
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License Number State | AZ
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