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General NPI Number Information
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NPI Number | 1548594732
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Entity Type | Organization
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Legal Business Name | BROWN COUNTY HEALTH DEPARTMENT
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Dates
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Enumeration Date | 09/22/2009
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Last Update Date | 10/13/2015
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Provider Practice Location Address
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Address Line | 610 S BROADWAY
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City | GREEN BAY
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State | WI
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Zip | 54303-1533
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Country | US
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Telephone | 920-448-6400
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Fax | 920-448-6449
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Provider Business Mailing Address
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Address Line | 610 S BROADWAY
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City | GREEN BAY
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State | WI
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Zip | 54303-1533
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Country | US
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Telephone | 920-448-6400
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Fax | 920-448-6449
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Authorized Official
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Title or Position | HEALTH OFFICER
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Name | CHUA XIONG
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Credential | MSN
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Telephone | 920-448-6441
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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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