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General NPI Number Information
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NPI Number | 1841472867
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Entity Type | Organization
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Legal Business Name | TREMPEALEAU COUNTY DEPT OF HUMAN SERVICES
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Dates
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Enumeration Date | 11/30/2007
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Last Update Date | 02/07/2012
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Provider Practice Location Address
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Address Line | 36245 MAIN ST COURTHOUSE
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City | WHITEHALL
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State | WI
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Zip | 54773-9139
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Country | US
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Telephone | 715-538-2311
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Fax | 715-538-4274
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Provider Business Mailing Address
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Address Line | 36245 MAIN ST PO BOX 67 COURTHOUSE
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City | WHITEHALL
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State | WI
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Zip | 54773-9139
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Country | US
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Telephone | 715-538-2311
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Fax | 715-538-4274
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Authorized Official
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Title or Position | DIRECTOR
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Name | JEFF MCINTYRE
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Credential |
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Telephone | 715-538-2311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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