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General NPI Number Information
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NPI Number | 1073072542
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Entity Type | Organization
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Legal Business Name | BARABOO RIVER EQUINE-ASSISTED THERAPIES INC.
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Dates
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Enumeration Date | 03/14/2019
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Last Update Date | 04/21/2021
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Provider Practice Location Address
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Address Line | E11230 MOON RD
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City | BARABOO
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State | WI
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Zip | 53913-9433
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Country | US
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Telephone | 608-504-2299
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 101
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City | BARABOO
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State | WI
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Zip | 53913-0101
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Country | US
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Telephone | 760-212-8021
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CHRISTINE A. SINGER
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Credential |
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Telephone | 608-504-2299
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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