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General NPI Number Information
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NPI Number | 1982943924
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Entity Type | Organization
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Legal Business Name | DISTRICT COUNCIL OF MADISON INC
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Dates
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Enumeration Date | 02/12/2013
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Last Update Date | 05/09/2014
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Provider Practice Location Address
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Address Line | 2033 FISH HATCHERY RD
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City | MADISON
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State | WI
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Zip | 53725-9686
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Country | US
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Telephone | 608-268-0355
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Fax | 608-237-1136
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Provider Business Mailing Address
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Address Line | PO BOX 259686
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City | MADISON
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State | WI
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Zip | 53725-9686
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Country | US
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Telephone | 608-442-7200
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Fax | 608-442-7211
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Authorized Official
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Title or Position | MANAGING PHARMACIST
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Name | YOLANDA TOLSON
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Credential |
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Telephone | 608-268-0355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 9183-42
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License Number State | WI
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