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General NPI Number Information
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NPI Number | 1194052381
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Entity Type | Organization
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Legal Business Name | THE ARC OF NATRONA COUNTY, INC.
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 337 N WOLCOTT ST
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City | CASPER
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State | WY
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Zip | 82601-1922
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Country | US
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Telephone | 307-577-4913
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Fax | 307-577-4014
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Provider Business Mailing Address
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Address Line | PO BOX 393
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City | CASPER
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State | WY
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Zip | 82602-0393
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Country | US
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Telephone | 307-577-4913
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Fax | 307-577-4014
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. CODY LOU TAUBERT
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Credential |
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Telephone | 307-577-4913
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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