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General NPI Number Information
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NPI Number | 1033209424
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Entity Type | Organization
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Legal Business Name | CITY OF MADISON
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 301 1ST STREET
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City | MADISON
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State | MN
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Zip | 56256
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Country | US
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Telephone | 320-598-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 404 6TH AVE
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City | MADISON
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State | MN
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Zip | 56256-1237
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Country | US
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Telephone | 320-598-7373
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Fax | 320-598-7376
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Authorized Official
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Title or Position | CITY CLERK
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Name | MS. KATHLEEN WEBER
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Credential |
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Telephone | 320-598-7373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 0144
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License Number State | MN
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