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General NPI Number Information
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NPI Number | 1184611089
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Entity Type | Organization
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Legal Business Name | NOYES HEALTH CARE CENTER INC
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Dates
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Enumeration Date | 10/05/2005
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Last Update Date | 11/17/2010
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Provider Practice Location Address
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Address Line | 305 WHIPPOORWILL ST POB 307
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City | BAGGS
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State | WY
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Zip | 82321-0307
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Country | US
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Telephone | 307-383-7000
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Fax | 307-383-7005
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Provider Business Mailing Address
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Address Line | POB 307 305 WHIPPOORWILL ST
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City | BAGGS
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State | WY
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Zip | 82321-0307
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Country | US
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Telephone | 307-383-7000
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Fax | 307-383-7005
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BARRY BRYANT
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Credential |
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Telephone | 307-383-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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