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General NPI Number Information
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NPI Number | 1316920317
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Entity Type | Organization
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Legal Business Name | COUNTY OF PIERCE
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Dates
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Enumeration Date | 11/22/2005
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Last Update Date | 11/28/2011
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Provider Practice Location Address
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Address Line | 412 W KINNE ST
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City | ELLSWORTH
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State | WI
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Zip | 54011-9223
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Country | US
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Telephone | 715-273-6755
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Fax | 715-273-6854
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Provider Business Mailing Address
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Address Line | 412 W KINNE ST P.O. BOX 238
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City | ELLSWORTH
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State | WI
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Zip | 54011-9230
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Country | US
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Telephone | 715-273-6755
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Fax | 715-273-6854
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUE GALOFF
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Credential |
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Telephone | 715-273-6755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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