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General NPI Number Information
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NPI Number | 1528972510
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Entity Type | Organization
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Legal Business Name | LIFE LINK OF SHERIDAN COUNTY
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Dates
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Enumeration Date | 09/29/2026
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Last Update Date | 09/29/2026
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Provider Practice Location Address
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Address Line | 15 S SHERIDAN AVE
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City | SHERIDAN
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State | WY
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Zip | 82801-4439
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Country | US
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Telephone | 307-751-9348
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Fax | 307-673-4876
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Provider Business Mailing Address
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Address Line | PO BOX 2095
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City | SHERIDAN
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State | WY
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Zip | 82801-2095
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Country | US
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Telephone | 307-751-9348
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Fax | 307-673-4876
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DONNA SMITH
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Credential |
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Telephone | 307-751-9348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NULL
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