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General NPI Number Information
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NPI Number | 1215266705
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Entity Type | Organization
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Legal Business Name | CASPER WOMEN'S CARE, PC
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 940 E 3RD ST STE 202
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City | CASPER
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State | WY
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Zip | 82601-3251
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Country | US
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Telephone | 307-237-5510
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Fax | 307-237-0607
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Provider Business Mailing Address
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Address Line | 940 E 3RD ST STE 202
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City | CASPER
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State | WY
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Zip | 82601-3251
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Country | US
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Telephone | 307-237-5510
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Fax | 307-237-0607
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | SARAH ANNE CARDENAS
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Credential |
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Telephone | 307-237-5510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 7576A
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License Number State | WY
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