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General NPI Number Information
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NPI Number | 1720105042
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Entity Type | Organization
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Legal Business Name | PEPIN COUNTY
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Dates
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Enumeration Date | 03/23/2007
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Last Update Date | 05/12/2010
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Provider Practice Location Address
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Address Line | 740 7TH AVE W
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City | DURAND
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State | WI
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Zip | 54736-1628
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Country | US
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Telephone | 715-672-5961
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Fax |
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Provider Business Mailing Address
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Address Line | 740 7TH AVE W PO BOX 39
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City | DURAND
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State | WI
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Zip | 54736-0039
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Country | US
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Telephone | 715-672-5961
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Fax |
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Authorized Official
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Title or Position | PEPIN COUNTY BOARD CHAIR
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Name | PETER ADLER
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Credential |
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Telephone | 715-672-5961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 90
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License Number State | WI
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