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General NPI Number Information
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NPI Number | 1083800064
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Entity Type | Organization
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Legal Business Name | COUNTY OF LINCOLN
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 03/31/2010
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Provider Practice Location Address
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Address Line | 607 N SALES ST
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City | MERRILL
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State | WI
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Zip | 54452-1624
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Country | US
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Telephone | 715-536-0307
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Fax | 715-536-2011
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Provider Business Mailing Address
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Address Line | 607 N SALES ST STE 101
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City | MERRILL
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State | WI
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Zip | 54452-1624
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Country | US
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Telephone | 715-536-0307
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Fax | 715-536-2011
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | MRS. SHELLEY KAY HERSIL
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Credential | CHES
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Telephone | 715-536-0307
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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