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General NPI Number Information
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NPI Number | 1376527358
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Entity Type | Organization
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Legal Business Name | CITY OF HARTFORD TREASURER
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Dates
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Enumeration Date | 12/02/2005
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 109 N MAIN ST
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City | HARTFORD
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State | WI
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Zip | 53027-1521
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Country | US
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Telephone | 262-673-8207
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Fax | 262-673-8301
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Provider Business Mailing Address
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Address Line | 109 N MAIN ST
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City | HARTFORD
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State | WI
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Zip | 53027-1582
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Country | US
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Telephone | 262-673-8207
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Fax | 734-479-6319
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | ANTHONY BURGARD
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Credential |
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Telephone | 262-673-8293
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 60-1111
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License Number State | WI
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