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General NPI Number Information
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NPI Number | 1013243294
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Entity Type | Organization
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Legal Business Name | BARRON COUNTY OFFICE ON AGING
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Dates
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Enumeration Date | 10/23/2009
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Last Update Date | 08/29/2019
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Provider Practice Location Address
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Address Line | 335 E. MONROE AVENUE ROOM 112
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City | BARRON
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State | WI
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Zip | 54812-1478
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Country | US
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Telephone | 715-537-6225
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Fax | 715-537-6851
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Provider Business Mailing Address
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Address Line | 335 E. MONROE AVENUE ROOM 112
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City | BARRON
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State | WI
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Zip | 54812-1478
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Country | US
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Telephone | 715-537-6225
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Fax | 715-537-6851
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JENNIFER JAKO
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Credential |
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Telephone | 715-537-6225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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