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General NPI Number Information
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NPI Number | 1093821498
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Entity Type | Organization
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Legal Business Name | TWIN LAKES VOLUNTEER FIRE DEPARTMENT & RESCUE SQUAD INC
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Dates
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Enumeration Date | 08/21/2006
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Last Update Date | 07/28/2015
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Provider Practice Location Address
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Address Line | 236 EAST MAIN STREET
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City | TWIN LAKES
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State | WI
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Zip | 53181-9198
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Country | US
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Telephone | 262-877-2373
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Fax | 262-877-9494
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Provider Business Mailing Address
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Address Line | 236 EAST MAIN STREET
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City | TWIN LAKES
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State | WI
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Zip | 53181-9189
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Country | US
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Telephone | 262-877-2373
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Fax | 262-877-9494
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Authorized Official
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Title or Position | TREASURER
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Name | ANDREW D. HAASE
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Credential |
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Telephone | 262-877-2373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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