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General NPI Number Information
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NPI Number | 1609290873
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Entity Type | Organization
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Legal Business Name | BADGER EMS INC
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Dates
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Enumeration Date | 02/09/2014
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Last Update Date | 02/09/2014
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Provider Practice Location Address
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Address Line | N873 CLUB CIRCLE DR
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City | PRAIRIE DU SAC
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State | WI
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Zip | 53578-9560
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Country | US
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Telephone | 608-393-8848
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Fax | 608-370-6480
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Provider Business Mailing Address
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Address Line | N873 CLUB CIRCLE DR
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City | PRAIRIE DU SAC
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State | WI
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Zip | 53578-9560
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Country | US
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Telephone | 608-393-8848
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Fax | 608-370-6480
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Authorized Official
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Title or Position | SECRETARY-TREASURER
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Name | PAMELA HALVERSON
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Credential |
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Telephone | 608-393-8848
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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