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General NPI Number Information
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NPI Number | 1326247479
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Entity Type | Organization
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Legal Business Name | CHEYENNE OCULAR SURGERY
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 12/12/2025
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Provider Practice Location Address
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Address Line | 1300 E 20TH ST
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City | CHEYENNE
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State | WY
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Zip | 82001-4021
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Country | US
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Telephone | 307-632-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 E 20TH ST
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City | CHEYENNE
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State | WY
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Zip | 82001-4021
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Country | US
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Telephone | 307-632-2020
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Fax |
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Authorized Official
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Title or Position | VP REVENUE CYCLE MANAGEMENT
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Name | LAURA M GARCIA
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Credential |
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Telephone | 949-615-9288
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number | 10141
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License Number State | WY
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