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General NPI Number Information
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NPI Number | 1114987054
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Entity Type | Organization
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Legal Business Name | LAFAYETTE COUNTY
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Dates
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Enumeration Date | 03/24/2006
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 211 BEV ANDERSON DRIVE
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City | DARLINGTON
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State | WI
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Zip | 53530
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Country | US
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Telephone | 608-776-4466
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Fax | 608-776-5701
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Provider Business Mailing Address
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Address Line | 211 BEV ANDERSON DR.
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City | DARLINGTON
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State | WI
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Zip | 53530
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Country | US
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Telephone | 608-776-4466
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Fax | 608-776-5701
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Authorized Official
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Title or Position | CEO
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Name | MARIE A WAMSLEY
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Credential |
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Telephone | 608-776-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1015
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License Number State | WI
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