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General NPI Number Information
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NPI Number | 1437065174
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Entity Type | Organization
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Legal Business Name | CAREGIVERS OF WYOMING LC
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Dates
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Enumeration Date | 08/21/2026
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Last Update Date | 08/21/2026
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Provider Practice Location Address
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Address Line | 1807 COPPERVILLE RD
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City | CHEYENNE
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State | WY
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Zip | 82001-6544
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Country | US
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Telephone | 307-286-0382
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 21673
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City | CHEYENNE
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State | WY
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Zip | 82003-7031
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Country | US
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Telephone | 307-286-0382
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. MATTHEW HURT
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Credential |
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Telephone | 307-286-0382
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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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