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General NPI Number Information
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NPI Number | 1710650494
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Entity Type | Individual
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Provider Name | CASSANDRA RITSCHE
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Gender | Female
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Dates
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Enumeration Date | 07/28/2021
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Last Update Date | 07/28/2021
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Provider Practice Location Address
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Address Line | 1360 TOWN CENTRE DR
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City | EAGAN
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State | MN
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Zip | 55123-2310
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Country | US
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Telephone | 651-686-7431
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Fax |
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Provider Business Mailing Address
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Address Line | 2330 LEXINGTON AVE S APT 319
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City | MENDOTA HEIGHTS
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State | MN
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Zip | 55120-1233
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Country | US
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Telephone | 320-290-3132
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 125251
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License Number State | MN
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