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General NPI Number Information
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NPI Number | 1982417069
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Entity Type | Individual
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Provider Name | AMANDA ROCHELLE RITZER
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Gender | Female
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 710 11TH ST N
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City | COLUMBUS
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State | MT
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Zip | 59019-7215
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Country | US
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Telephone | 406-322-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 15 BACKFORTY RD
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City | PARK CITY
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State | MT
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Zip | 59063-8092
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Country | US
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Telephone | 320-309-9084
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | NUR-RN-LIC-126545
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License Number State | MT
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