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NPI 1104734417

NPI 1104734417 : EQUAL BEGINNINGS LLC : SHERIDAN, WY

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General NPI Number Information
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    NPI Number           |    1104734417
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    Entity Type          |    Organization 
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    Legal Business Name  |    EQUAL BEGINNINGS LLC 
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Dates
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    Enumeration Date     |    08/28/2026
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    Last Update Date     |    08/28/2026
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Provider Practice Location Address
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    Address Line         |    2155 N MAIN ST 
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    City                 |    SHERIDAN
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    State                |    WY
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    Zip                  |    82801-9213
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    Country              |    US
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    Telephone            |    307-763-6095
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 661 
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    City                 |    SHERIDAN
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    State                |    WY
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    Zip                  |    82801-0661
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |    MS. MEGAN  DAVIS 
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    Credential           |    
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    Telephone            |    307-763-8671
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health Agency
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    License Number       |    
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    License Number State |    
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