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General NPI Number Information
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NPI Number | 1144101577
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Entity Type | Organization
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Legal Business Name | MOUNTAIN VIEW COMPREHENSIVE MEDICINE
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Dates
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Enumeration Date | 09/11/2025
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 204 MCCOLLUM ST STE 203
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City | LARAMIE
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State | WY
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Zip | 82070-5127
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Country | US
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Telephone | 307-223-2005
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Fax | 307-670-7326
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Provider Business Mailing Address
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Address Line | 1575 N 4TH ST STE 101
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City | LARAMIE
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State | WY
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Zip | 82072-2091
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Country | US
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Telephone | 307-223-2005
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Fax | 307-670-7326
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Authorized Official
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Title or Position | OWNER
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Name | TAYLOR BASKIN
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Credential | PA-C
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Telephone | 307-223-2005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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