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General NPI Number Information
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NPI Number | 1538059357
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Entity Type | Organization
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Legal Business Name | CHERE B NP LLC
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Dates
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Enumeration Date | 07/03/2025
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Last Update Date | 07/03/2025
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Provider Practice Location Address
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Address Line | 1077 GOLDEN RANGE DR STE 127
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City | BURNS
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State | WY
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Zip | 82053-9135
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Country | US
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Telephone | 307-298-1680
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Fax | 307-298-1680
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Provider Business Mailing Address
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Address Line | 1077 GOLDEN RANGE DR
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City | BURNS
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State | WY
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Zip | 82053-9135
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Country | US
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Telephone | 307-298-1680
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Fax | 307-372-2988
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | CHERE BOHR
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Credential | APRN, FNP-C
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Telephone | 307-298-1680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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