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General NPI Number Information
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NPI Number | 1588868707
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Entity Type | Organization
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Legal Business Name | CURRAN SEELEY FOUNDATION
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Dates
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Enumeration Date | 06/12/2007
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Last Update Date | 03/22/2022
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Provider Practice Location Address
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Address Line | 610 W. BROADWAY SUITE L1
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City | JACKSON
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State | WY
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Zip | 83001
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Country | US
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Telephone | 307-733-3908
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Fax | 307-734-0017
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Provider Business Mailing Address
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Address Line | PO BOX 11390
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City | JACKSON
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State | WY
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Zip | 83002-1390
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Country | US
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Telephone | 307-733-3908
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Fax | 307-734-0017
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Authorized Official
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Title or Position | BOOKKEEPER
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Name | AUTUMN MEEKS
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Credential |
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Telephone | 307-733-3908
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State | WY
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