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General NPI Number Information
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NPI Number | 1487634028
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Entity Type | Organization
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Legal Business Name | TOWN OF MADISON
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Dates
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Enumeration Date | 01/19/2006
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Last Update Date | 10/26/2012
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Provider Practice Location Address
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Address Line | 2120 FISH HATCHERY RD
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City | MADISON
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State | WI
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Zip | 53713-1253
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Country | US
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Telephone | 608-210-7260
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Fax | 608-210-7236
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Provider Business Mailing Address
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Address Line | 2120 FISH HATCHERY RD
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City | MADISON
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State | WI
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Zip | 53713-1253
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Country | US
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Telephone | 608-210-7260
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Fax | 608-210-7236
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | KATIE E JELLE
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Credential |
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Telephone | 608-210-7260
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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 | 6001182
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License Number State | WI
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