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General NPI Number Information
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NPI Number | 1588509186
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Entity Type | Organization
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Legal Business Name | HIGH COUNTRY WELLNESS, LLC
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Dates
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Enumeration Date | 04/21/2026
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Last Update Date | 04/21/2026
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Provider Practice Location Address
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Address Line | 62 OSPREY RD
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City | LARAMIE
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State | WY
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Zip | 82070-8573
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Country | US
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Telephone | 970-819-0091
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Fax | 720-649-4576
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Provider Business Mailing Address
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Address Line | 62 OSPREY RD
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City | LARAMIE
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State | WY
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Zip | 82070-8573
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Country | US
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Telephone | 970-819-0091
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Fax | 720-649-4576
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Authorized Official
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Title or Position | FNP-BC, OWNER
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Name | LENAYA MARTIN
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Credential | FNP-BC, OWNER
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Telephone | 970-819-0091
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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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