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General NPI Number Information
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NPI Number | 1609520204
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Entity Type | Organization
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Legal Business Name | OUR GENERATIONS INC.
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Dates
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Enumeration Date | 02/11/2022
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Last Update Date | 02/15/2022
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Provider Practice Location Address
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Address Line | 1955 W. BROADWAY STE 104
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City | MONONA
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State | WI
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Zip | 53713-1603
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Country | US
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Telephone | 608-405-3002
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Fax | 608-405-5107
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Provider Business Mailing Address
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Address Line | 1955 W. BROADWAY STE 104
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City | MONONA
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State | WI
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Zip | 53713-1603
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Country | US
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Telephone | 608-405-3002
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Fax | 608-405-5107
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Authorized Official
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Title or Position | OWNER/CEO
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Name | RUCHITA ERVIN
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Credential | L.P.C.
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Telephone | 608-201-6964
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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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 |
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License Number State |
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