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General NPI Number Information
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NPI Number | 1922169077
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Entity Type | Individual
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Provider Name | RISE ANN FUTTERER MD
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Gender | Female
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Dates
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Enumeration Date | 12/13/2006
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Last Update Date | 04/07/2022
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Provider Practice Location Address
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Address Line | 1104 JOHN NOLEN DR
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City | MADISON
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State | WI
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Zip | 53713-1430
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Country | US
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Telephone | 608-259-4385
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Fax |
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Provider Business Mailing Address
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Address Line | 53 OAK CREEK TRL
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City | MADISON
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State | WI
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Zip | 53717-1509
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Country | US
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Telephone | 608-259-4385
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Fax | 608-259-4382
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 34510-020
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License Number State | WI
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