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NPI 1407677545

NPI 1407677545 : ARIANA E CACHO PCSW : CHEYENNE, WY

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General NPI Number Information
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    NPI Number           |    1407677545
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    Entity Type          |    Individual 
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    Provider Name        |    ARIANA E CACHO PCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/22/2024
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    Last Update Date     |    11/21/2024
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Provider Practice Location Address
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    Address Line         |    2500 DELL RANGE BLVD 
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    City                 |    CHEYENNE
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    State                |    WY
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    Zip                  |    82009-5273
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    Country              |    US
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    Telephone            |    307-630-4729
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    Fax                  |    307-632-3298
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Provider Business Mailing Address
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    Address Line         |    PO BOX 20092 
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    City                 |    CHEYENNE
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    State                |    WY
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    Zip                  |    82003-7002
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    Country              |    US
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    Telephone            |    307-630-4729
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    Fax                  |    307-632-3298
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    PCSW-1187
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    License Number State |    WY
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