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General NPI Number Information
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NPI Number | 1679784029
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Entity Type | Organization
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Legal Business Name | VILLAGE OF CAMBRIA
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Dates
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Enumeration Date | 05/25/2007
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Last Update Date | 04/20/2012
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Provider Practice Location Address
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Address Line | 702 ELIZABETH STREET
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City | CAMBRIA
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State | WI
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Zip | 53923
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Country | US
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Telephone | 920-348-5501
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 295 111 W EDGEWATER STREET
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City | CAMBRIA
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State | WI
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Zip | 53923-0295
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Country | US
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Telephone | 920-348-5443
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Fax | 920-348-6050
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Authorized Official
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Title or Position | SECRETARY TREASURER
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Name | LORI KRATKY
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Credential |
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Telephone | 920-348-5443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 341600000X
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Taxonomy Name | Ambulance
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License Number | 6001091
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License Number State | WI
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