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General NPI Number Information
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NPI Number | 1093930455
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Entity Type | Individual
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Provider Name | ANGELA M PEDRETTI MA LPC
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Gender | Female
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Dates
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Enumeration Date | 04/13/2007
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 2661 COUNTY HIGHWAY I
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-5407
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Country | US
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Telephone | 715-723-1811
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Fax |
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Provider Business Mailing Address
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Address Line | 1998 LONG LAKE LANE
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City | COMSTOCK
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State | WI
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Zip | 54826
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Country | US
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Telephone | 715-822-8614
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC 1098
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License Number State | SD
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 3854 125
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License Number State | WI
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