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General NPI Number Information
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NPI Number | 1114017167
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Entity Type | Organization
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Legal Business Name | WOMENS HEALTH ASSOCIATES OF WY
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 10/01/2008
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Provider Practice Location Address
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Address Line | 1125 E 2ND ST
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City | CASPER
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State | WY
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Zip | 82601-2903
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Country | US
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Telephone | 307-577-4225
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Fax | 307-577-4229
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Provider Business Mailing Address
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Address Line | 1125 E 2ND ST
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City | CASPER
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State | WY
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Zip | 82601-2903
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Country | US
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Telephone | 307-577-4225
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Fax | 307-577-4229
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SAM T SCALING
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Credential | MD
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Telephone | 307-577-4225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 6581A
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 6681A
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 2811A
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License Number State | WY
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