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General NPI Number Information
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NPI Number | 1518674514
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Entity Type | Organization
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Legal Business Name | ZORUMSKE FAMILY PRACTICE LLC
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 39 N SCOTT ST STE 21
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City | SHERIDAN
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State | WY
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Zip | 82801-6363
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Country | US
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Telephone | 307-429-1202
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Fax | 307-288-6353
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Provider Business Mailing Address
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Address Line | 51 COFFEEN AVE STE 101-278
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City | SHERIDAN
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State | WY
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Zip | 82801-4872
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Country | US
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Telephone | 307-752-8814
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Fax | 307-460-7409
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Authorized Official
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Title or Position | FNP-C
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Name | TONI MARIE ORUM
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Credential | APRN
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Telephone | 307-752-8814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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