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General NPI Number Information
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NPI Number | 1174679195
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Entity Type | Organization
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Legal Business Name | NORMATIVE SERVICES, INC.
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 05/23/2013
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Provider Practice Location Address
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Address Line | 5 LANE LANE
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City | SHERIDAN
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State | WY
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Zip | 82801-8630
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Country | US
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Telephone | 307-674-6878
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Fax | 307-674-7781
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Provider Business Mailing Address
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Address Line | 5 LANE LANE
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City | SHERIDAN
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State | WY
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Zip | 82801-8630
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Country | US
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Telephone | 307-674-6878
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Fax | 307-674-7781
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Authorized Official
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Title or Position | ACCT SUPERVISOR
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Name | DEANNE L. HINES
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Credential |
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Telephone | 307-674-6878
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number | 6190
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License Number State | WY
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