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General NPI Number Information
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NPI Number | 1366432197
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Entity Type | Organization
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Legal Business Name | CODY REGIONAL HEALTH EMS
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Dates
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Enumeration Date | 10/24/2005
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 707 SHERIDAN AVE
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City | CODY
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State | WY
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Zip | 82414-3409
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Country | US
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Telephone | 307-527-7501
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Fax | 307-578-2485
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Provider Business Mailing Address
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Address Line | 707 SHERIDAN AVE
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City | CODY
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State | WY
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Zip | 82414-3409
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Country | US
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Telephone | 307-527-7501
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Fax | 307-578-2485
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Authorized Official
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Title or Position | CFO
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Name | HANNAH HANNAH MCRAE
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Credential |
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Telephone | 307-578-2490
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number |
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License Number State |
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