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General NPI Number Information
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NPI Number | 1497833180
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Entity Type | Organization
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Legal Business Name | ROCKY MOUNTAIN INFECTIOUS DISEASES
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Dates
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Enumeration Date | 11/01/2006
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1450 E A ST STE 1 & 2
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City | CASPER
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State | WY
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Zip | 82601-2239
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Country | US
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Telephone | 307-234-8700
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Fax | 307-234-8750
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Provider Business Mailing Address
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Address Line | 1450 E A ST
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City | CASPER
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State | WY
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Zip | 82601-2239
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Country | US
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Telephone | 307-234-8700
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Fax | 307-234-8750
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | BRANDY R HASKINS
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Credential |
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Telephone | 307-234-8700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 6725430001
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 5197A
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License Number State | WY
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