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General NPI Number Information
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NPI Number | 1194430447
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Entity Type | Organization
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Legal Business Name | COUNTY OF FLORENCE
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 01/20/2023
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Provider Practice Location Address
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Address Line | 747 LAKE AVENUE
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City | FLORENCE
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State | WI
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Zip | 54121
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Country | US
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Telephone | 414-296-1059
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 410
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City | FLORENCE
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State | WI
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Zip | 54121-0410
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Country | US
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Telephone | 414-296-1059
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Fax |
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Authorized Official
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Title or Position | EMS DIRECTOR
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Name | AMANDA R MULVEY
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Credential | RN, EMT
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Telephone | 414-296-1059
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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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