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NPI 1407761919

NPI 1407761919 : 307 HOPE CLINIC : ROCK SPRINGS, WY

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General NPI Number Information
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    NPI Number           |    1407761919
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    Entity Type          |    Organization 
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    Legal Business Name  |    307 HOPE CLINIC 
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Dates
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    Enumeration Date     |    08/18/2026
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    Last Update Date     |    08/18/2026
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Provider Practice Location Address
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    Address Line         |    1208 HILLTOP DR STE 104 
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5858
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    Country              |    US
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    Telephone            |    307-371-2427
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    Fax                  |    858-947-2019
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Provider Business Mailing Address
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    Address Line         |    1208 HILLTOP DR STE 104 
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    City                 |    ROCK SPRINGS
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    State                |    WY
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    Zip                  |    82901-5858
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    Country              |    US
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    Telephone            |    307-371-2427
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    Fax                  |    858-947-2019
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Authorized Official
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    Title or Position    |    MEDICAL DIRECTOR
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    Name                 |     TAMARA SUE WALKER 
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    Credential           |    PMHNP, PNP, PMHS
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    Telephone            |    307-371-2427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QP2300X
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    Taxonomy Name        |    Primary Care Clinic/Center
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #6
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    Taxonomy Code        |    363LP0808X
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    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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