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General NPI Number Information
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NPI Number | 1740231026
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Entity Type | Organization
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Legal Business Name | PRAIRIE DU CHIEN RESCUE SQUAD INC
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Dates
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Enumeration Date | 05/12/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 528 S STATE ST
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-2130
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Country | US
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Telephone | 608-326-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 528 S STATE ST
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-2130
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SUSAN KORESH
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Credential |
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Telephone | 608-326-4441
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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 |
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License Number State |
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