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General NPI Number Information
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NPI Number | 1265483218
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Entity Type | Organization
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Legal Business Name | TOWN OF WINCHESTER
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 09/24/2008
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Provider Practice Location Address
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Address Line | 10363 COUNTY RD W
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City | WINCHESTER
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State | WI
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Zip | 54557
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Country | US
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Telephone | 715-686-2123
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Fax | 715-686-2488
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Provider Business Mailing Address
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Address Line | 10363 COUNTY RD W
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City | WINCHESTER
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State | WI
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Zip | 54557
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Country | US
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Telephone | 715-686-2123
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Fax | 715-686-2488
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Authorized Official
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Title or Position | AMBULANCE DIRECTOR
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Name | MRS. GINGER MARIE BROUSIL
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Credential | AMBULANCE DIRECTOR
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Telephone | 715-686-2123
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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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