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General NPI Number Information
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NPI Number | 1952314528
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Entity Type | Individual
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Provider Name | RICHARD DENNIS FITE CP,O
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Gender | Male
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Dates
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Enumeration Date | 08/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 11201 BENTON ST 121 VETERANS MEDICAL CTR
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City | LOMA LINDA
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State | CA
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Zip | 92357-0001
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Country | US
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Telephone | 909-825-7084
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Fax |
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Provider Business Mailing Address
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Address Line | 39326 PROSPECT DR
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City | FOREST FALLS
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State | CA
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Zip | 92339-9698
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Country | US
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Telephone | 909-241-3435
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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 | 224P00000X
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Taxonomy Name | Prosthetist
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License Number | CP1386
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 225000000X
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Taxonomy Name | Orthotic Fitter
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License Number | CP1389
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number | CP1389
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License Number State | CA
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