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General NPI Number Information
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NPI Number | 1457064917
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Entity Type | Organization
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Legal Business Name | MS HOLDINGS, LLC
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Dates
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Enumeration Date | 12/29/2022
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Last Update Date | 10/21/2025
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Provider Practice Location Address
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Address Line | 1300 VENTURE WAY STE 206
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City | CASPER
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State | WY
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Zip | 82609-4353
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Country | US
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Telephone | 307-268-9904
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Fax | 307-298-6294
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Provider Business Mailing Address
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Address Line | 1300 VENTURE WAY STE 206
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City | CASPER
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State | WY
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Zip | 82609-4353
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Country | US
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Telephone | 307-268-9904
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Fax | 307-298-6294
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Authorized Official
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Title or Position | SUPERVISING PROVIDER
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Name | KATE WHITAKER
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Credential | APRN-BC
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Telephone | 307-268-9904
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service 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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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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 | 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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