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General NPI Number Information
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NPI Number | 1679959829
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Entity Type | Individual
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Provider Name | ANNMARIE KATHLEEN RANSOM AGPCNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/10/2015
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Last Update Date | 05/15/2023
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Provider Practice Location Address
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Address Line | 225 CHURCH ST
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City | STOUGHTON
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State | WI
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Zip | 53589
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Country | US
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Telephone | 608-877-2700
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Fax | 608-877-2726
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Provider Business Mailing Address
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Address Line | 225 CHURCH ST
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City | STOUGHTON
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State | WI
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Zip | 53589-1801
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Country | US
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Telephone | 608-877-2700
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Fax | 608-877-2726
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7277-033
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7277-033
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License Number State | WI
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