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General NPI Number Information
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NPI Number | 1225523749
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Entity Type | Individual
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Provider Name | ASHLEIGH MARIE SPITZA RDN
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Gender | Female
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3365 S 103RD ST STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53227-4162
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Country | US
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Telephone | 414-321-3951
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Fax |
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Provider Business Mailing Address
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Address Line | N54W27900 SUTTON CT
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City | SUSSEX
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State | WI
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Zip | 53089-4505
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Country | US
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Telephone | 262-573-8387
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 2957-29
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License Number State | WI
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