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General NPI Number Information
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NPI Number | 1235298902
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Entity Type | Organization
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Legal Business Name | JEFFERSON COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 1541 ANNEX RD
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City | JEFFERSON
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State | WI
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Zip | 53549-9803
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Country | US
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Telephone | 920-674-7275
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Fax | 920-674-7477
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Provider Business Mailing Address
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Address Line | 1541 ANNEX RD
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City | JEFFERSON
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State | WI
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Zip | 53549-9803
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Country | US
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Telephone | 920-674-7275
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Fax | 920-674-7477
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Authorized Official
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Title or Position | DIRECTOR/HEALTH OFFICER
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Name | ELIZABETH CHILSEN
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Credential |
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Telephone | 920-674-7275
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 63
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License Number State | WI
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