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General NPI Number Information
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NPI Number | 1134102932
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Entity Type | Organization
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Legal Business Name | VILLAGE OF HARTLAND
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Dates
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Enumeration Date | 11/25/2005
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Last Update Date | 09/30/2013
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Provider Practice Location Address
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Address Line | 150 LAWN ST
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City | HARTLAND
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State | WI
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Zip | 53029-1714
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Country | US
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Telephone | 262-367-2714
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Fax | 262-367-2430
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Provider Business Mailing Address
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Address Line | 6400 INDUSTRIAL LOOP
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City | GREENDALE
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State | WI
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Zip | 53129-2452
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Country | US
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Telephone | 414-423-4100
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Fax | 414-423-4134
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | RYAN BAILEY
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Credential | CPA
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Telephone | 262-367-2714
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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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 | 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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