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General NPI Number Information
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NPI Number | 1629914197
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Entity Type | Organization
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Legal Business Name | WYOMING INTEGRATIVE PSYCHIATRY
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Dates
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Enumeration Date | 04/27/2026
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Last Update Date | 04/27/2026
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Provider Practice Location Address
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Address Line | 503 S 8TH ST
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City | DOUGLAS
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State | WY
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Zip | 82633-2609
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Country | US
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Telephone | 307-359-9265
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Fax | 800-507-3983
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Provider Business Mailing Address
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Address Line | PO BOX 174
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City | DOUGLAS
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State | WY
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Zip | 82633-0174
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Country | US
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Telephone | 307-359-9265
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Fax | 800-507-3983
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | RAEGAN KARTUPELIS
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Credential | PMHNP-BC
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Telephone | 307-359-9265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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