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General NPI Number Information
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NPI Number | 1730226630
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Entity Type | Organization
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Legal Business Name | COUNTY RESCUE SERVICES, INC.
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1765 ALLOUEZ AVE
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City | GREEN BAY
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State | WI
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Zip | 54311-5645
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Country | US
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Telephone | 920-469-9779
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Fax | 920-469-9777
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Provider Business Mailing Address
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Address Line | 1765 ALLOUEZ AVE
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City | GREEN BAY
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State | WI
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Zip | 54311-5645
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Country | US
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Telephone | 920-469-9779
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Fax | 920-469-9777
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Authorized Official
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Title or Position | PRESIDENT
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Name | LAWRENCE ULLMER
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Credential |
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Telephone | 920-469-9779
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 6001167
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License Number State | WI
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