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General NPI Number Information
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NPI Number | 1568272383
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Entity Type | Organization
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Legal Business Name | ACTION CONSTRUCTION LLC
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Dates
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Enumeration Date | 01/13/2025
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Last Update Date | 01/13/2025
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Provider Practice Location Address
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Address Line | 340 W B ST STE 204
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City | CASPER
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State | WY
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Zip | 82601-1839
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Country | US
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Telephone | 307-337-3777
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Fax |
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Provider Business Mailing Address
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Address Line | 669 EAGLE CIR
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City | EVANSVILLE
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State | WY
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Zip | 82636-9412
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Country | US
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Telephone | 307-277-1075
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOHN A STOYSICH
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Credential | MBA
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Telephone | 307-277-1075
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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