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General NPI Number Information
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NPI Number | 1982693495
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Entity Type | Organization
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Legal Business Name | CITY OF DE PERE
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Dates
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Enumeration Date | 10/18/2005
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 400 LEWIS ST
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City | DE PERE
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State | WI
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Zip | 54115-2717
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Country | US
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Telephone | 920-339-4085
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Fax | 920-403-7883
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Provider Business Mailing Address
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Address Line | 400 LEWIS ST
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City | DE PERE
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State | WI
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Zip | 54115-2717
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Country | US
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Telephone | 920-339-4085
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Fax | 336-510-5894
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Authorized Official
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Title or Position | FIRE CHIEF
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Name | MR. DENNIS L. RUBIN
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Credential |
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Telephone | 920-339-4085
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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 | 6001025
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License Number State | WI
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