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General NPI Number Information
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NPI Number | 1699439190
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Entity Type | Individual
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Provider Name | REBECCA WITT CHNC, HHP, IHP, RDMS
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Gender | Female
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 10/29/2021
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Provider Practice Location Address
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Address Line | 3119 GOLF RD STE 103
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City | EAU CLAIRE
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State | WI
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Zip | 54701-7073
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Country | US
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Telephone | 715-828-3323
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Fax |
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Provider Business Mailing Address
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Address Line | N16072 JUNCTION AVE
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City | STANLEY
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State | WI
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Zip | 54768-8003
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Country | US
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Telephone | 608-381-0441
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | WI
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