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General NPI Number Information
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NPI Number | 1376332163
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Entity Type | Organization
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Legal Business Name | RURAL SPINE CARE PC
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 4401 COLLEGE DR
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-3507
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Country | US
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Telephone | 307-352-8946
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Fax | 307-352-8947
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Provider Business Mailing Address
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Address Line | 4401 COLLEGE DR
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City | ROCK SPRINGS
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State | WY
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Zip | 82901-3507
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Country | US
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Telephone | 307-352-8946
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Fax | 307-352-8947
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Authorized Official
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Title or Position | PRESIDENT
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Name | DANIEL ROBERT POSSLEY
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Credential | DO
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Telephone | 773-799-4854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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