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General NPI Number Information
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NPI Number | 1811203367
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Entity Type | Organization
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Legal Business Name | EMPLOYMENT HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 08/23/2010
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Last Update Date | 08/23/2010
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Provider Practice Location Address
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Address Line | 721 CARDINAL LN STE 100
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City | GREEN BAY
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State | WI
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Zip | 54313-3216
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Country | US
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Telephone | 920-434-2441
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Fax | 920-434-2483
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Provider Business Mailing Address
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Address Line | 721 CARDINAL LN STE 100
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City | GREEN BAY
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State | WI
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Zip | 54313-3216
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Country | US
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Telephone | 920-434-2441
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Fax | 920-434-2483
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Authorized Official
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Title or Position | OWNER, DIRECTOR
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Name | DR. DENNIS J KING
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Credential | D.C.
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Telephone | 920-434-2441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 2312-012
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License Number State | WI
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