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General NPI Number Information
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NPI Number | 1467977025
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Entity Type | Organization
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Legal Business Name | SPOONER HEALTH SYSTEM, INC.
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1280 CHANDLER DR
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City | SPOONER
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State | WI
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Zip | 54801-2202
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Country | US
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Telephone | 715-635-2111
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Fax | 715-635-1555
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Provider Business Mailing Address
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Address Line | 1280 CHANDLER DR
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City | SPOONER
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State | WI
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Zip | 54801-2202
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Country | US
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Telephone | 715-635-2111
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Fax | 715-635-1555
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | REBECCA BUSCH
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Credential |
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Telephone | 715-939-1732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332900000X
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Taxonomy Name | Non-Pharmacy Dispensing Site
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License Number |
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License Number State |
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