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General NPI Number Information
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NPI Number | 1437477825
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Entity Type | Organization
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Legal Business Name | MARSHFIELD CLINIC
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Dates
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Enumeration Date | 05/10/2010
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Last Update Date | 06/28/2011
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Provider Practice Location Address
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Address Line | 945 S. DETLOFF DR.
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City | ARCADIA
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State | WI
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Zip | 54612-1895
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Country | US
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Telephone | 608-323-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 N OAK AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-5703
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Country | US
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Telephone | 715-387-5511
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR REIMBURSEMENT
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Name | DAVID J. SIMENSTAD
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Credential | MD
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Telephone | 715-387-5511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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