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General NPI Number Information
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NPI Number | 1154323129
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Entity Type | Organization
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Legal Business Name | CITY OF WHITEWATER
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Dates
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Enumeration Date | 08/10/2005
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 312 W WHITEWATER ST
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City | WHITEWATER
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State | WI
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Zip | 53190-1940
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Country | US
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Telephone | 262-473-0510
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Fax | 262-375-9608
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Provider Business Mailing Address
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Address Line | 312 W WHITEWATER ST
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City | WHITEWATER
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State | WI
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Zip | 53190-1940
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Country | US
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Telephone | 262-473-1381
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Fax | 262-473-1381
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Authorized Official
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Title or Position | COMPTROLLER
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Name | JEREMIAH THOMAS
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Credential |
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Telephone | 262-473-1381
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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 | 6000512
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License Number State | WI
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