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General NPI Number Information
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NPI Number | 1649688250
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Entity Type | Organization
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Legal Business Name | BLUE FEATHER, INC.
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Dates
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Enumeration Date | 07/28/2014
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Last Update Date | 07/28/2014
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Provider Practice Location Address
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Address Line | 2805 S ONEIDA ST
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City | GREEN BAY
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State | WI
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Zip | 54304-5748
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Country | US
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Telephone | 920-882-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 436 WASHINGTON ST
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City | WRIGHTSTOWN
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State | WI
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Zip | 54180-1102
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Country | US
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Telephone | 920-882-9700
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DON SCHROEDER
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Credential |
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Telephone | 920-882-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State |
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