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General NPI Number Information
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NPI Number | 1184760993
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WYOMING SPEECH AND HEARING CLINIC
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2710 HARNEY ST STE 100
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City | LARAMIE
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State | WY
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Zip | 82072-0001
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Country | US
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Telephone | 307-766-6426
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Fax | 307-766-6829
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Provider Business Mailing Address
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Address Line | 2710 HARNEY ST STE 100
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City | LARAMIE
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State | WY
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Zip | 82072-0001
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Country | US
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Telephone | 307-766-6426
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Fax | 307-766-6829
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSOCIATE
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Name | HEATHER GIBSON
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Credential |
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Telephone | 307-766-6426
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | A947
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License Number State | WY
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