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General NPI Number Information
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NPI Number | 1215268552
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Entity Type | Organization
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Legal Business Name | COUNTY OF TREMPEALEAU TCHCC
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 04/15/2021
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Provider Practice Location Address
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Address Line | W20410 STATE ROAD 121
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City | WHITEHALL
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State | WI
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Zip | 54773-9147
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Country | US
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Telephone | 715-538-4312
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Fax | 715-538-2426
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Provider Business Mailing Address
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Address Line | W20410 STATE ROAD 121
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City | WHITEHALL
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State | WI
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Zip | 54773-9147
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Country | US
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Telephone | 715-538-4312
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Fax | 715-538-2426
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | LORI A GLAUNERT
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Credential |
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Telephone | 715-538-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 950
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7026-33
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 000062045
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54557
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 000062045
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License Number State | WI
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