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NPI 1902021504

NPI 1902021504 : COUNTY OF WOOD : WISCONSIN RAPIDS, WI

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General NPI Number Information
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    NPI Number           |    1902021504
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    Entity Type          |    Organization 
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    Legal Business Name  |    COUNTY OF WOOD 
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Dates
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    Enumeration Date     |    04/17/2007
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    Last Update Date     |    10/10/2025
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Provider Practice Location Address
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    Address Line         |    111 W JACKSON ST 
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    City                 |    WISCONSIN RAPIDS
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    State                |    WI
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    Zip                  |    54495-2702
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    Country              |    US
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    Telephone            |    715-421-8800
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    Fax                  |    715-421-2266
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Provider Business Mailing Address
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    Address Line         |    111 W JACKSON ST 
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    City                 |    WISCONSIN RAPIDS
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    State                |    WI
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    Zip                  |    54495-2702
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    Country              |    US
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    Telephone            |    715-421-8845
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    Fax                  |    715-421-2266
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Authorized Official
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    Title or Position    |    DIRECTOR OF HUMAN SERVICES
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    Name                 |     BRANDON  VRUWINK 
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    Credential           |    
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    Telephone            |    715-421-8800
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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       |    2019
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    License Number State |    WI
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