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General NPI Number Information
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NPI Number | 1306205802
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Entity Type | Organization
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Legal Business Name | CARE WY LLC
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Dates
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Enumeration Date | 02/12/2016
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Last Update Date | 02/12/2016
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Provider Practice Location Address
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Address Line | 981 PRAIRIE RIVER DR
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City | CASPER
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State | WY
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Zip | 82604-2113
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Country | US
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Telephone | 307-258-9243
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Fax | 307-337-2579
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Provider Business Mailing Address
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Address Line | 981 PRAIRIE RIVER DR
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City | CASPER
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State | WY
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Zip | 82604-2113
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Country | US
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Telephone | 307-258-9243
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Fax | 307-337-2579
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Authorized Official
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Title or Position | PARTNER/CASE MANAGER
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Name | MRS. JENNY L MCKINNEY
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Credential |
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Telephone | 307-258-9243
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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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