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General NPI Number Information
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NPI Number | 1942257381
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Entity Type | Organization
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Legal Business Name | EAST TROY AREA EMERGENCY SERVICES DISTRICT
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | N8406 HWY ES
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City | EAST TROY
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State | WI
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Zip | 53120-2163
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Country | US
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Telephone | 262-642-4495
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Fax | 262-642-2050
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Provider Business Mailing Address
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Address Line | N8406 HWY ES
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City | EAST TROY
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State | WI
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Zip | 53120-2163
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Country | US
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Telephone | 262-642-4495
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Fax | 262-642-2050
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Authorized Official
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Title or Position | DISTRICT BOARD CHAIRMAN
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Name | MR. DAVE BITTER
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Credential |
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Telephone | 262-642-4495
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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 | 6000718
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License Number State | WI
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