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General NPI Number Information
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NPI Number | 1508947086
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Entity Type | Organization
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Legal Business Name | CITY OF JUNEAU EMERGENCY MEDICAL SERVICES
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Dates
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Enumeration Date | 10/18/2006
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Last Update Date | 10/01/2024
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Provider Practice Location Address
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Address Line | 128 E CROSS ST
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City | JUNEAU
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State | WI
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Zip | 53039
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Country | US
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Telephone | 920-386-4810
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Fax |
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Provider Business Mailing Address
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Address Line | 128 CROSS ST
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City | JUNEAU
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State | WI
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Zip | 53039-1246
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Country | US
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Telephone | 920-386-4813
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL ZANK
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Credential |
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Telephone | 920-210-1023
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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 | 6001074
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License Number State | WI
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