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General NPI Number Information
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NPI Number | 1831248475
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Entity Type | Organization
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Legal Business Name | TOWN OF IRON RIVER
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/01/2010
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Provider Practice Location Address
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Address Line | 8285 US HIGHWAY 2
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City | IRON RIVER
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State | WI
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Zip | 54847-3436
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Country | US
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Telephone | 715-372-8774
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Fax | 715-372-4394
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Provider Business Mailing Address
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Address Line | 8285 US HIGHWAY 2 P.O. BOX 53
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City | IRON RIVER
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State | WI
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Zip | 54847-3436
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Country | US
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Telephone | 715-372-8774
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Fax | 715-372-4394
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Authorized Official
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Title or Position | EMERGENCY MEDICAL TECHNITIAN-BILLIN
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Name | MS. MARY(MICKY) E. MULLOZZI
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Credential | R.E.M.T.
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Telephone | 715-372-8774
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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 | 6000776
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License Number State | WI
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