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General NPI Number Information
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NPI Number | 1497895833
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Entity Type | Organization
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Legal Business Name | COUNTY OF VILAS
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 11/18/2019
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Provider Practice Location Address
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Address Line | 330 COURT ST
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City | EAGLE RIVER
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State | WI
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Zip | 54521-8362
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Country | US
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Telephone | 715-479-3656
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Fax | 715-479-3741
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Provider Business Mailing Address
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Address Line | 330 COURT ST
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City | EAGLE RIVER
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State | WI
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Zip | 54521-8362
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Country | US
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Telephone | 715-479-3656
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Fax | 715-479-3741
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Authorized Official
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Title or Position | DIRECTOR,HEALTH OFFICER
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Name | LAUREL A. DREGER
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Credential | R.N., B.S.N.
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Telephone | 715-479-3658
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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 |
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License Number State |
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