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General NPI Number Information
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NPI Number | 1225085483
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Entity Type | Organization
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Legal Business Name | FENNIMORE AREA RESCUE SQUAD INC
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1070 8TH STREET
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City | FENNIMORE
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State | WI
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Zip | 53809
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Country | US
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Telephone | 608-822-3211
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Fax |
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Provider Business Mailing Address
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Address Line | 1235 MENOMONIE STREET SUITE B
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City | EAU CLAIRE
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State | WI
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Zip | 54703-5974
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Country | US
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Telephone | 877-642-9543
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Fax | 715-834-5870
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Authorized Official
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Title or Position | CHIEF
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Name | BRIAN HEISZ
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Credential | EMT
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Telephone | 608-778-8482
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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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