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General NPI Number Information
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NPI Number | 1063340610
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Entity Type | Individual
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Provider Name | CAREY REETZ MS CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 05/13/2026
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Last Update Date | 05/13/2026
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Provider Practice Location Address
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Address Line | 635 RICHMOND WAY
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City | NEW RICHMOND
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State | WI
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Zip | 54017-6753
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Country | US
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Telephone | 715-243-1400
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Fax |
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Provider Business Mailing Address
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Address Line | 701 E 11TH ST
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City | NEW RICHMOND
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State | WI
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Zip | 54017-2399
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Country | US
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Telephone | 715-243-1491
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Fax | 715-888-1552
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 659628
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License Number State | WI
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