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General NPI Number Information
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NPI Number | 1104271972
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Entity Type | Individual
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Provider Name | ANNMARIE RITACCA MSW, LISW
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Gender | Female
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Dates
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Enumeration Date | 04/29/2016
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Last Update Date | 10/14/2024
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Provider Practice Location Address
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Address Line | 103 RIVER PL
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City | MONONA
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State | WI
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Zip | 53716-4018
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Country | US
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Telephone | 608-222-0250
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 NEW PORT VISTA DR
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City | GRAFTON
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State | WI
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Zip | 53024-9390
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Country | US
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Telephone | 808-226-1853
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2051-122
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 899-55
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License Number State | WI
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