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General NPI Number Information
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NPI Number | 1396438420
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Entity Type | Individual
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Provider Name | KELSIE LYNN TARVER
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Gender | Female
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Dates
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Enumeration Date | 06/02/2023
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Last Update Date | 06/02/2023
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Provider Practice Location Address
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Address Line | 1035 SUMNER ST
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City | SHERIDAN
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State | WY
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Zip | 82801-5143
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Country | US
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Telephone | 406-218-1416
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Fax |
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Provider Business Mailing Address
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Address Line | 1035 SUMNER ST
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City | SHERIDAN
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State | WY
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Zip | 82801-5143
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Country | US
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Telephone | 406-218-1416
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Fax |
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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