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General NPI Number Information
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NPI Number | 1356824551
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Entity Type | Organization
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Legal Business Name | TOMAH MEMORIAL HOSPITAL INC
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Dates
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Enumeration Date | 09/13/2018
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 501 GOPHER DR
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City | TOMAH
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State | WI
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Zip | 54660-4513
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Country | US
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Telephone | 608-377-8650
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Fax | 608-377-8737
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Provider Business Mailing Address
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Address Line | 501 GOPHER DR
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City | TOMAH
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State | WI
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Zip | 54660-4513
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Country | US
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Telephone | 608-372-2181
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Fax | 608-377-8737
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Authorized Official
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Title or Position | PFS DIRECTOR
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Name | HILLARY JOHNSON
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Credential |
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Telephone | 608-377-8650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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