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General NPI Number Information
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NPI Number | 1598656027
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Entity Type | Organization
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Legal Business Name | BRHALL
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Dates
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Enumeration Date | 07/12/2025
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 1801 W SUMMIT ST
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City | EVANSTON
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State | WY
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Zip | 82930-3142
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Country | US
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Telephone | 307-679-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 W SUMMIT ST
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City | EVANSTON
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State | WY
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Zip | 82930-3142
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANNER BRIMHALL
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Credential |
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Telephone | 307-313-0196
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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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Taxonomy #2
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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