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General NPI Number Information
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NPI Number | 1316084452
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Entity Type | Individual
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Provider Name | DEBRA LOUISE PHINNEY OTR, LPC
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Gender | Female
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 1656 E 12TH ST
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City | CASPER
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State | WY
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Zip | 82601-4004
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Country | US
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Telephone | 307-577-5718
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Fax | 307-577-5716
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Provider Business Mailing Address
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Address Line | 1430 WILKINS CIR
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City | CASPER
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State | WY
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Zip | 82601-1336
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Country | US
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Telephone | 307-237-9583
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Fax | 307-265-7277
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC 1337
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 225XP0200X
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Taxonomy Name | Pediatric Occupational Therapist
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License Number | OTR-453
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC-1337
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License Number State | WY
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