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General NPI Number Information
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NPI Number | 1376590208
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Entity Type | Organization
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Legal Business Name | TOWN OF PLUM LAKE
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 2821 STATE HWY 155
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City | SAYNER
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State | WI
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Zip | 54560
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Country | US
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Telephone | 715-358-1176
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7
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City | SAYNER
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State | WI
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Zip | 54560-0007
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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 | SERVICE DIRECTOR
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Name | KEVIN RASMUSSEN
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Credential |
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Telephone | 715-892-1877
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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 |
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License Number State |
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