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General NPI Number Information
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NPI Number | 1487047122
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Entity Type | Organization
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Legal Business Name | GLENROCK HSOPITAL DISTRICT
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Dates
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Enumeration Date | 03/05/2015
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Last Update Date | 04/03/2025
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Provider Practice Location Address
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Address Line | 925 WEST BIRCH
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City | GLENROCK
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State | WY
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Zip | 82637-0786
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Country | US
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Telephone | 307-436-9206
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Fax | 307-436-9730
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Provider Business Mailing Address
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Address Line | PO BOX 786
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City | GLENROCK
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State | WY
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Zip | 82637-0786
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Country | US
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Telephone | 307-436-9206
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Fax | 307-436-9730
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. ASHLEY MARIE OVIEDO-LOPEZ
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Credential | FNPC
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Telephone | 307-436-9206
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State | WY
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