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General NPI Number Information
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NPI Number | 1083888788
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Entity Type | Organization
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Legal Business Name | ST CROIX COUNTY
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Dates
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Enumeration Date | 04/15/2008
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Last Update Date | 03/04/2024
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Provider Practice Location Address
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Address Line | 1752 DORSET LN
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City | NEW RICHMOND
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State | WI
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Zip | 54017-2452
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Country | US
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Telephone | 715-246-8330
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Fax | 715-246-8367
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Provider Business Mailing Address
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Address Line | 1752 DORSET LN
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City | NEW RICHMOND
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State | WI
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Zip | 54017-2452
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Country | US
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Telephone | 715-246-8263
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Fax | 715-246-8367
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Authorized Official
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Title or Position | FISCAL MANAGER
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Name | FAY STRENKE
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Credential |
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Telephone | 715-246-8217
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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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