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General NPI Number Information
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NPI Number | 1225038359
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Entity Type | Organization
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Legal Business Name | CITY OF MARSHFIELD
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Dates
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Enumeration Date | 07/29/2005
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 514 EAST 4TH STREET
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City | MARSHFIELD
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State | WI
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Zip | 54449-4516
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Country | US
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Telephone | 715-486-2094
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Fax | 715-384-8868
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Provider Business Mailing Address
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Address Line | 514 E 4TH ST
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City | MARSHFIELD
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State | WI
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Zip | 54449-4516
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Country | US
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Telephone | 715-384-4600
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Fax | 715-384-7831
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Authorized Official
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Title or Position | DEPUTY FIRE CHIEF-EMS
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Name | MR. STEVE BAKOS
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Credential |
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Telephone | 715-486-2093
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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 | 6000285
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License Number State | WI
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