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General NPI Number Information
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NPI Number | 1093298960
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Entity Type | Organization
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Legal Business Name | BROWN COUNTY
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 111 N. JEFFERSON STREET
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City | GREEN BAY
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State | WI
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Zip | 54301
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Country | US
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Telephone | 920-448-6237
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Fax |
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Provider Business Mailing Address
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Address Line | 111 N. JEFFERSON STREET
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City | GREEN BAY
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State | WI
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Zip | 54301
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Country | US
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Telephone | 920-448-6237
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Fax |
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Authorized Official
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Title or Position | CONTRACT AND PROVIDER RELATIONS MGR
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Name | MOLLY HILLMANN
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Credential |
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Telephone | 920-448-6237
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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