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NPI 1942207402

NPI 1942207402 : CITY OF ASHLAND : ASHLAND, WI

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General NPI Number Information
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    NPI Number           |    1942207402
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    Entity Type          |    Organization 
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    Legal Business Name  |    CITY OF ASHLAND 
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Dates
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    Enumeration Date     |    06/30/2005
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    Last Update Date     |    12/03/2010
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Provider Practice Location Address
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    Address Line         |    300 STUNTZ AVE 
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    City                 |    ASHLAND
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    State                |    WI
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    Zip                  |    54806-1952
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    Country              |    US
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    Telephone            |    715-682-7052
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    Fax                  |    715-682-7903
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Provider Business Mailing Address
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    Address Line         |    300 STUNTZ AVE 
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    City                 |    ASHLAND
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    State                |    WI
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    Zip                  |    54806-1952
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    Country              |    US
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    Telephone            |    715-682-7052
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    Fax                  |    715-682-7903
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Authorized Official
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    Title or Position    |    FIRE CHIEF
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    Name                 |    MR. WAYNE  CHENIER 
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    Credential           |    
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    Telephone            |    715-682-7052
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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       |    6000349
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    License Number State |    WI
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