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General NPI Number Information
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NPI Number | 1093147787
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Entity Type | Organization
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Legal Business Name | CATHY BERENS, PC
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Dates
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Enumeration Date | 08/05/2013
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Last Update Date | 08/05/2013
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Provider Practice Location Address
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Address Line | 940 EAST 3RD STREET SUITE 107
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City | CASPER
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State | WY
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Zip | 82601-3200
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Country | US
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Telephone | 307-265-1500
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Fax | 307-265-1506
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Provider Business Mailing Address
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Address Line | 940 EAST 3RD STREET SUITE 107
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City | CASPER
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State | WY
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Zip | 82601-3200
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Country | US
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Telephone | 307-265-1500
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Fax | 307-265-1506
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Authorized Official
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Title or Position | OWNER
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Name | CATHY L BERENS
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Credential | MSNAPRN
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Telephone | 307-265-1500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 22143346
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License Number State | WY
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