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NPI 1851365209

NPI 1851365209 : DANE COUNTY CYTOLOGY CENTER, INC : MONONA, WI

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General NPI Number Information
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    NPI Number           |    1851365209
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    Entity Type          |    Organization 
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    Legal Business Name  |    DANE COUNTY CYTOLOGY CENTER, INC 
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Dates
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    Enumeration Date     |    02/14/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    2000 ENGEL ST SUITE 201
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    City                 |    MONONA
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    State                |    WI
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    Zip                  |    53713-4822
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    Country              |    US
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    Telephone            |    608-255-5135
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    Fax                  |    608-255-2640
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Provider Business Mailing Address
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    Address Line         |    2000 ENGEL ST SUITE 201
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    City                 |    MONONA
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    State                |    WI
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    Zip                  |    53713-4822
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    Country              |    US
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    Telephone            |    608-255-5135
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    Fax                  |    608-255-2640
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     GAIL A KLEIN 
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    Credential           |    
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    Telephone            |    608-255-5135
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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       |    
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    License Number State |    WI
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