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General NPI Number Information
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NPI Number | 1124922687
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Entity Type | Organization
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Legal Business Name | GUARDIAN'S WATCH
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 538 PILOT BUTTE AVE STE 1
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-5385
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Country | US
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Telephone | 307-371-7738
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Fax |
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Provider Business Mailing Address
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Address Line | 3824 HARRIER DR
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-6275
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Country | US
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Telephone | 307-371-7738
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | FELISHA FLETCHER
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Credential |
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Telephone | 307-371-7738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | NULL
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