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General NPI Number Information
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NPI Number | 1861622714
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Entity Type | Organization
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Legal Business Name | THE FAMILY CENTER
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Dates
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Enumeration Date | 07/24/2009
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Last Update Date | 06/27/2011
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Provider Practice Location Address
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Address Line | 8025 EXCELSIOR DRIVE STE. 110
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City | MADISON
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State | WI
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Zip | 53717-2902
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Country | US
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Telephone | 608-663-6154
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Fax | 608-664-9854
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Provider Business Mailing Address
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Address Line | 8025 EXCELSIOR DRIVE STE. 110
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City | MADISON
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State | WI
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Zip | 53717-2902
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Country | US
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Telephone | 608-663-6154
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Fax | 608-664-9854
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. BETTY RYGIEWICZ
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Credential | MS LMFT
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Telephone | 608-663-6154
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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 | 752-124
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License Number State | WI
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