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General NPI Number Information
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NPI Number | 1205482247
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Entity Type | Organization
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Legal Business Name | CITY OF BURLINGTON
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Dates
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Enumeration Date | 08/15/2019
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Last Update Date | 08/15/2019
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Provider Practice Location Address
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Address Line | 165 W WASHINGTON ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1445
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Country | US
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Telephone | 262-763-7842
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Fax | 262-767-8602
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Provider Business Mailing Address
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Address Line | 300 N PINE ST
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City | BURLINGTON
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State | WI
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Zip | 53105-1435
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Country | US
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Telephone | 262-342-1170
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Fax | 262-767-9025
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Authorized Official
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Title or Position | FINANCE DIRECTOR TREASURER
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Name | MR. STEVEN J DEQUAKER
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Credential |
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Telephone | 262-342-1170
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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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