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General NPI Number Information
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NPI Number | 1821043910
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Entity Type | Organization
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Legal Business Name | DELLS-DELTON EMS COMMISSION
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 45 MILLER DR
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City | BARABOO
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State | WI
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Zip | 53913
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Country | US
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Telephone | 608-254-2159
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 716
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City | LAKE DELTON
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State | WI
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Zip | 53940-0716
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Country | US
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Telephone | 270-727-0450
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Fax | 336-510-5894
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Authorized Official
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Title or Position | DIRECTOR
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Name | DILLON GAVINSKI
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Credential |
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Telephone | 734-691-3766
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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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