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General NPI Number Information
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NPI Number | 1962869602
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Entity Type | Organization
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Legal Business Name | FLAMBEAU HOSPITAL, INC.
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Dates
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Enumeration Date | 01/26/2016
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Last Update Date | 01/26/2016
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Provider Practice Location Address
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Address Line | 98 SHERRY AVE
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City | PARK FALLS
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State | WI
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Zip | 54552-1467
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Country | US
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Telephone | 715-762-2484
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Fax | 715-762-7558
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Provider Business Mailing Address
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Address Line | 98 SHERRY AVE
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City | PARK FALLS
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State | WI
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Zip | 54552-1467
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Country | US
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Telephone | 715-762-2484
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Fax | 715-762-7558
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JAMES R. BRAUN
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Credential | C.F.O.
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Telephone | 715-762-7568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC0060X
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Taxonomy Name | Critical Access Hospital
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License Number | 1028
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License Number State | WI
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