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General NPI Number Information
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NPI Number | 1528232832
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Entity Type | Organization
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Legal Business Name | COUNTY OF WAUSHARA
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Dates
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Enumeration Date | 04/17/2008
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Last Update Date | 08/12/2019
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Provider Practice Location Address
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Address Line | 230 W. PARK STREET
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City | WAUTOMA
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State | WI
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Zip | 54982
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Country | US
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Telephone | 920-787-6590
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Fax | 920-787-6511
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Provider Business Mailing Address
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Address Line | 230 W. PARK STREET PO BOX 837
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City | WAUTOMA
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State | WI
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Zip | 54982
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Country | US
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Telephone | 920-787-6590
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Fax | 920-787-6511
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | JENNIFER L PULVERMACHER
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Credential |
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Telephone | 920-787-6590
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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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