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General NPI Number Information
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NPI Number | 1073720322
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Entity Type | Organization
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Legal Business Name | THAYNE EMTS
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Dates
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Enumeration Date | 05/17/2007
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Last Update Date | 02/16/2017
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Provider Practice Location Address
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Address Line | 231 S MAIN ST
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City | THAYNE
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State | WY
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Zip | 83127-1607
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Country | US
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Telephone | 307-883-4383
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Fax | 307-883-4382
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Provider Business Mailing Address
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Address Line | PO BOX 942
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City | THAYNE
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State | WY
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Zip | 83127-0942
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Country | US
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Telephone | 307-883-4383
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Fax | 307-883-4382
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Authorized Official
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Title or Position | CAPTAIN
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Name | ADAM HANSEN
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Credential |
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Telephone | 307-883-4383
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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 |
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License Number State |
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