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General NPI Number Information
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NPI Number | 1891937090
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM
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Dates
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Enumeration Date | 04/02/2009
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Last Update Date | 04/02/2009
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Provider Practice Location Address
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Address Line | 275 W MAIN ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3110
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Country | US
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Telephone | 608-348-9766
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Fax | 608-348-3915
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Provider Business Mailing Address
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Address Line | 275 W MAIN ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3110
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Country | US
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Telephone | 608-348-9766
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Fax | 608-348-3915
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | WALTER ORZECHOWSKI
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Credential | MSPH, MBA
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Telephone | 608-935-2326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 139651030
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 4521016
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License Number State | WI
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