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General NPI Number Information
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NPI Number | 1891515441
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Entity Type | Organization
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Legal Business Name | TALON PROTECTION AGENCY INC
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Dates
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Enumeration Date | 10/16/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3600 WI-157 SUITE 205
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City | LA CROSSE
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State | WI
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Zip | 54601
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Country | US
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Telephone | 608-668-2808
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 700
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City | HOLMEN
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State | WI
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Zip | 54636-0700
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Country | US
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Telephone | 608-668-2808
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SHELLEY L LYNNE
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Credential |
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Telephone | 608-668-2808
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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