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General NPI Number Information
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NPI Number | 1972610608
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Entity Type | Organization
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Legal Business Name | CITY OF STOUGHTON
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 12/01/2015
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Provider Practice Location Address
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Address Line | 516 S 4TH ST
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City | STOUGHTON
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State | WI
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Zip | 53589-2402
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Country | US
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Telephone | 608-873-6500
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Fax | 608-873-0771
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Provider Business Mailing Address
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Address Line | PO BOX 72140
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City | CEDARBURG
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State | WI
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Zip | 53012-7340
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Country | US
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Telephone | 262-375-9610
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Fax | 262-375-9608
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. LISA ANN SCHIMELPFENIG
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Credential |
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Telephone | 608-873-6500
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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 | 6001176
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License Number State | WI
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