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General NPI Number Information
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NPI Number | 1275542813
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Entity Type | Organization
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Legal Business Name | WASHINGTON CO DEPT OF SOCIAL SERVICES
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 333 E. WASHINGTON STREET SUITE 3100
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City | WEST BEND
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State | WI
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Zip | 53095
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Country | US
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Telephone | 262-335-4610
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E. WASHINGTON STREET SUITE 3100 PO BOX 2003
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City | WEST BEND
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State | WI
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Zip | 53095
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Country | US
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Telephone | 262-335-4610
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MICHAEL F BLOEDORN
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Credential |
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Telephone | 262-335-4617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | WI
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