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General NPI Number Information
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NPI Number | 1093734162
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Entity Type | Organization
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Legal Business Name | COUNTY OF MARQUETTE
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 08/13/2009
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Provider Practice Location Address
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Address Line | 480 UNDERWOOD AVENUE
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City | MONTELLO
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State | WI
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Zip | 53949-0181
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Country | US
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Telephone | 608-297-3135
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Fax | 608-297-8923
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Provider Business Mailing Address
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Address Line | PO BOX 129 77 WEST PARK STREET
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City | MONTELLO
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State | WI
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Zip | 53949-0129
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Country | US
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Telephone | 608-297-3001
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Fax | 608-297-7606
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Authorized Official
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Title or Position | DIRECTOR HEALTH OFFICER
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Name | MRS. SUZANNE MCCARTNEY
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Credential |
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Telephone | 608-297-9116
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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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