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General NPI Number Information
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NPI Number | 1063542090
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Entity Type | Organization
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Legal Business Name | NORTHWEST WYOMING FAMILY PLANNING
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 01/09/2009
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Provider Practice Location Address
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Address Line | 1231 RUMSEY AVE
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City | CODY
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State | WY
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Zip | 82414-3607
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Country | US
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Telephone | 307-527-5174
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Fax | 307-527-5286
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Provider Business Mailing Address
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Address Line | 1231 RUMSEY AVE P.O. BOX 941
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City | CODY
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State | WY
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Zip | 82414-3607
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Country | US
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Telephone | 307-527-5174
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Fax | 307-527-5286
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Authorized Official
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Title or Position | DIRECTOR
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Name | KATHY COTTIER
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Credential |
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Telephone | 307-527-5174
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 193
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License Number State | WY
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