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General NPI Number Information
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NPI Number | 1093680167
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Entity Type | Organization
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Legal Business Name | COUNTY OF ROCK COUNTY CLERK
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 1717 CENTER AVE STE 510
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City | JANESVILLE
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State | WI
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Zip | 53546-2818
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Country | US
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Telephone | 855-741-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 1717 CENTER AVE STE 430
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City | JANESVILLE
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State | WI
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Zip | 53546-2818
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Country | US
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Telephone | 608-757-5025
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Fax |
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Authorized Official
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Title or Position | CONSUMER FINANCIAL SUPPORT SPECIALI
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Name | KATIE DEZEEUW
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Credential |
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Telephone | 608-757-5436
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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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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