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General NPI Number Information
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NPI Number | 1952349573
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Entity Type | Organization
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Legal Business Name | PIERCE COUNTY REPRODUCTIVE HEALTH
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Dates
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Enumeration Date | 06/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 210 LEWIS ST
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City | RIVER FALLS
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State | WI
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Zip | 54022-2107
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Country | US
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Telephone | 715-425-8003
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Fax | 715-425-8221
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Provider Business Mailing Address
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Address Line | 210 LEWIS ST P.O. BOX 82
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City | RIVER FALLS
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State | WI
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Zip | 54022-2107
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Country | US
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Telephone | 715-425-8003
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Fax | 715-425-8221
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Authorized Official
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Title or Position | DIRECTOR/HEALTH OFFICER
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Name | MS. CARALYNN HODGSON
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Credential | RN
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Telephone | 715-273-6755
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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 |
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License Number State |
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