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General NPI Number Information
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NPI Number | 1467572891
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Entity Type | Organization
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Legal Business Name | PEMBINE DUNBAR BEECHER RESCUE SQUAD
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Dates
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Enumeration Date | 03/30/2007
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | N 18251 HWY 141
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City | PEMBINE
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State | WI
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Zip | 54156-0990
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Country | US
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Telephone | 715-324-5656
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Fax | 715-324-6474
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Provider Business Mailing Address
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Address Line | PO BOX 220
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City | PEMBINE
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State | WI
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Zip | 54156-0220
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Country | US
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Telephone | 715-324-5656
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Fax | 715-923-8813
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Authorized Official
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Title or Position | DIRECTOR
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Name | RYAN GICK
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Credential |
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Telephone | 715-324-5656
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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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