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General NPI Number Information
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NPI Number | 1487802427
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Entity Type | Organization
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Legal Business Name | WISCONSIN SCHOOL FOR THE DEAF
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Dates
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Enumeration Date | 09/03/2008
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Last Update Date | 09/03/2008
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Provider Practice Location Address
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Address Line | 309 W WALWORTH AVE
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City | DELAVAN
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State | WI
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Zip | 53115-1027
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Country | US
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Telephone | 262-728-7144
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Fax | 262-728-7168
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Provider Business Mailing Address
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Address Line | 309 W WALWORTH AVE
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City | DELAVAN
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State | WI
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Zip | 53115-1027
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Country | US
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Telephone | 262-728-7144
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Fax | 262-728-7168
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Authorized Official
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Title or Position | NURSE SUPERVISOR
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Name | DIANE R. NELSON
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Credential | R.N.
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Telephone | 262-728-7144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 85790-030
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License Number State | WI
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