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General NPI Number Information
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NPI Number | 1386674919
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Entity Type | Organization
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Legal Business Name | CHIPPEWA COUNTY DEPARTMENT OF PUBLIC HEALTH
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Dates
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Enumeration Date | 07/03/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 711 N BRIDGE STREET RM 222
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-1845
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Country | US
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Telephone | 715-726-7905
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Fax | 715-726-7910
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Provider Business Mailing Address
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Address Line | 711 N BRIDGE STREET RM 222
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-1845
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Country | US
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Telephone | 715-726-7905
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Fax | 715-726-7910
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Authorized Official
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Title or Position | PUBLIC HEALTH OFFICER/DIRECTOR
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Name | JEAN C DURCH
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Credential | RN, MPH
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Telephone | 715-726-7906
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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 | WI
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