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General NPI Number Information
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NPI Number | 1285809491
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Entity Type | Organization
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Legal Business Name | ROCK COUNTY 51437 BOARD
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 3530 N COUNTY HWY F
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City | JANESVILLE
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State | WI
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Zip | 53547-1867
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Country | US
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Telephone | 608-757-5052
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Fax |
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Provider Business Mailing Address
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Address Line | 3530 N COUNTY HWY F P O BOX 1867
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City | JANESVILLE
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State | WI
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Zip | 53547-1867
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | THOMAS PERRY
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Credential |
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Telephone | 608-757-5052
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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 |
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