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General NPI Number Information
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NPI Number | 1669170577
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Entity Type | Organization
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Legal Business Name | ORTHO INSTACARE LLC
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Dates
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Enumeration Date | 02/20/2023
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 234 E 1ST ST STE 102
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City | CASPER
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State | WY
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Zip | 82601-2516
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Country | US
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Telephone | 866-678-4699
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Fax | 307-316-0705
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Provider Business Mailing Address
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Address Line | 234 E 1ST ST STE 102
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City | CASPER
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State | WY
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Zip | 82601-2516
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Country | US
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Telephone | 866-678-4699
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Fax | 307-316-0705
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Authorized Official
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Title or Position | OWNER
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Name | JOSEPH C MCGINLEY
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Credential | MD PHD
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Telephone | 866-678-4699
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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