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General NPI Number Information
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NPI Number | 1467625996
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Entity Type | Organization
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Legal Business Name | WAUSAU SCHOOL DISTRICT
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Dates
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Enumeration Date | 04/04/2008
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Last Update Date | 04/04/2008
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Provider Practice Location Address
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Address Line | 415 SEYMOUR ST
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City | WAUSAU
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State | WI
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Zip | 54403-6267
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Country | US
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Telephone | 715-261-0532
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Fax |
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Provider Business Mailing Address
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Address Line | 415 SEYMOUR ST
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City | WAUSAU
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State | WI
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Zip | 54403-6267
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Country | US
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Telephone | 715-261-0532
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SPECIAL EDUCATION
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Name | MRS. ANN WICKLUND
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Credential |
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Telephone | 715-261-0532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number | 6335
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License Number State | WI
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