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General NPI Number Information
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NPI Number | 1598571846
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Entity Type | Individual
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Provider Name | AMY RACKI
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 12/10/2024
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Provider Practice Location Address
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Address Line | 7633 GANSER WAY STE 200
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City | MADISON
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State | WI
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Zip | 53719-2092
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Country | US
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Telephone | 608-286-2534
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Fax |
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Provider Business Mailing Address
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Address Line | 3837 BAY LAUREL LN
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City | VERONA
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State | WI
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Zip | 53593-8151
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Country | US
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Telephone | 608-334-0688
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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