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General NPI Number Information
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NPI Number | 1508033416
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Entity Type | Organization
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Legal Business Name | COUNTY OF SHEBOYGAN
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Dates
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Enumeration Date | 05/09/2008
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Last Update Date | 07/28/2010
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Provider Practice Location Address
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Address Line | 1011 N 8TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4006
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Country | US
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Telephone | 920-459-6400
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Fax | 920-459-4353
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Provider Business Mailing Address
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Address Line | 1011 N 8TH ST
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4006
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Country | US
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Telephone | 920-459-6400
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Fax | 920-459-4353
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. THOMAS EGGEBRECHT
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Credential |
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Telephone | 920-459-3213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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