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General NPI Number Information
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NPI Number | 1285150045
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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 | 08/14/2017
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Last Update Date | 09/12/2025
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Provider Practice Location Address
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Address Line | 104 S JUDGEMENT ST
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City | SHULLSBURG
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State | WI
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Zip | 53586-9549
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Country | US
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Telephone | 608-965-4475
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Fax |
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Provider Business Mailing Address
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Address Line | 211 BEV ANDERSON DR.
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City | DARLINGTON
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State | WI
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Zip | 53530-8801
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Country | US
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Telephone | 608-776-4466
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Fax |
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Authorized Official
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Title or Position | COO
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Name | CARLEE SEGEBRECHT
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Credential |
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Telephone | 608-776-4466
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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