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General NPI Number Information
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NPI Number | 1457304586
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Entity Type | Organization
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Legal Business Name | MAUSTON AREA AMBULANCE ASSOCIATION INC
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 10/29/2025
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Provider Practice Location Address
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Address Line | 302 S UNION ST
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City | MAUSTON
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State | WI
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Zip | 53948-1755
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Country | US
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Telephone | 608-853-0988
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Fax | 608-350-9759
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Provider Business Mailing Address
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Address Line | PO BOX 52
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City | MAUSTON
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State | WI
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Zip | 53948-0052
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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 | DIRECTOR
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Name | CHRISTOPHER LEOPOLD
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Credential |
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Telephone | 608-853-0988
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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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