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General NPI Number Information
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NPI Number | 1013381300
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Entity Type | Organization
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Legal Business Name | ROBIN'S NEST HOMECARE
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Dates
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Enumeration Date | 11/24/2015
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Last Update Date | 01/21/2016
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Provider Practice Location Address
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Address Line | 5159 ROAD 58
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City | TORRINGTON
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State | WY
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Zip | 82240-7743
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Country | US
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Telephone | 307-575-0873
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Fax |
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Provider Business Mailing Address
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Address Line | 5159 ROAD 58
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City | TORRINGTON
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State | WY
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Zip | 82240-7743
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Country | US
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Telephone | 307-575-0873
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Fax |
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Authorized Official
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Title or Position | OWNER/NURSE
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Name | MS. SHAWN YVETTE WYSE
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Credential | RN
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Telephone | 307-575-0873
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 29793
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License Number State | WY
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