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General NPI Number Information
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NPI Number | 1336260462
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Entity Type | Individual
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Provider Name | JOYCE ELDA RITCHISON LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 8320 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-6066
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Country | US
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Telephone | 317-882-5122
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Fax | 317-888-8642
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Provider Business Mailing Address
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Address Line | 8320 MADISON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46227-6066
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Country | US
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Telephone | 317-882-5122
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Fax | 317-888-8642
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 35000593A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 35000593A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | 35000593A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34002880A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35000593A
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License Number State | IN
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