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General NPI Number Information
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NPI Number | 1992925085
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Entity Type | Organization
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Legal Business Name | COUNTY OF GREEN
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 03/19/2025
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Provider Practice Location Address
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Address Line | N3152 STATE ROAD 81
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City | MONROE
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State | WI
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Zip | 53566-9397
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Country | US
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Telephone | 608-328-9393
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Fax | 608-328-9480
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Provider Business Mailing Address
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Address Line | N3152 STATE ROAD 81
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City | MONROE
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State | WI
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Zip | 53566-9397
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Country | US
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Telephone | 608-328-9480
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DANIEL WILLIAMS
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Credential |
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Telephone | 608-328-9393
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 1388
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2328
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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