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General NPI Number Information
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NPI Number | 1235293077
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Entity Type | Organization
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Legal Business Name | LAFAYETTE COUNTY
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Dates
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Enumeration Date | 12/19/2006
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Last Update Date | 12/12/2011
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Provider Practice Location Address
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Address Line | 729 CLAY STREET
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City | DARLINGTON
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State | WI
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Zip | 53530-1225
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Country | US
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Telephone | 608-776-4895
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Fax | 608-776-4885
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Provider Business Mailing Address
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Address Line | 729 CLAY STREET
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City | DARLINGTON
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State | WI
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Zip | 53530-1225
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Country | US
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Telephone | 608-776-4895
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Fax | 608-776-4885
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Authorized Official
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Title or Position | DIRECTOR
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Name | DEBBIE SIEGENTHALER
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Credential | RN, MSN
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Telephone | 608-776-4895
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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