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General NPI Number Information
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NPI Number | 1881639912
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Entity Type | Organization
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Legal Business Name | PICKEREL VOLUNTEER FIRE DEPARTMENT AND RESCUE SQUAD INC
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Dates
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Enumeration Date | 06/20/2006
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | N9062 STATE ROAD 55
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City | PICKEREL
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State | WI
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Zip | 54465
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Country | US
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Telephone | 715-484-7700
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 10
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City | PICKEREL
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State | WI
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Zip | 54465-0010
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Country | US
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Telephone | 715-740-7040
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CORINNE TIPTON
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Credential |
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Telephone | 715-740-7040
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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 | 60-01043
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License Number State | WI
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