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Phone numbers in Italy - how many digits?

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I'm leaving Saturday from the US to vacation in Italy with my 2 friends for a week. I have AT&T mobile phone service which I've used to call home on previous trips to Italy with no problem - after setting up the international roaming plan prior to the trip. I've never called a number from my cell phone while in Italy, however, and need a little lesson. For example, the limo driver's number in case we need him or our hotel, Albergo del Senato.

Before my lesson, I'm puzzled about how many digits to dial. The phone number for the hotel on the website and the business card I have is as follows:
+39 06 678 4343
As you can tell, this number has 11 digits. The number for Rome Shuttle Limousine is as follows:
+39 066 1969084
This number has 12 digits.
Why the difference?
Do I dial the number as it's written from my cell phone while there?
Thanks for the help!

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